Tags

Type your tag names separated by a space and hit enter

Electrosurgical smoke: a real concern.
Mymensingh Med J 2011; 20(3):507-12MM

Abstract

Electrosurgical techniques including laser surgery have expanded greatly in recent years. Pyrolysis of tissue produces smoke. Recently the smoke is being analyzed using Gas Chromatography-Mass Spectrometry. The nature of smoke depends on the rise of temperature of tissue during electro-surgery. The smoke produced at high temperatures contains low concentration of Group-I carcinogens (IARC) such as Benzene, Hydrogen cyanide, Formaldehyde 1,3-Butadiene and Acrylonitrile. Bioaerosol produced at low temperature as in harmonic scissors may contain live multidrug resistant Mycobacterium tuberculosis, viral DNA of HBV, HCV, HIV and HPV. It also contains live malignant cells and dead cellular materials. These produce an unquantified infection risk. The obnoxious smoke causes ocular and upper respiratory tract irritation, creates visual problems for surgeons. Surgical masks are not capable of filtering the produced bioaerosol. Removal of smoke from the site of operation by local exhaust ventilation is not complete. When produced in a closed cavity as in laparoscopic surgery the patient also suffers from carboxyhaemoglobinaemia and methaemoglobinaemia. Methemoglobinaemia is not detected by standard pulse-oximetry. Laser smoke produces congestive interstitial pneumonia, bronchiolitis and emphysema in rats. Chromosomal aberration and sister chromatid exchange have been found in lymphocyte culture of operating room personnel. Occupational safety and health authorities like Occupational Safety and Health Administration (OSHA), National Institute for Occupational safety and Health (NIOSH), American National Standard Institute (ANSI) and Association of Operating room nurses (AORN) are trying to find effective ways for removal of smoke from site of operation and also the real risk to operating room personnel. Answer lies in minimizing the use of electrocautery whenever possible and completes removal of harmful smoke.

Authors+Show Affiliations

Department of Surgery, Community Based Medical College, Bangladesh, Mymensingh, Bangladesh.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

21804521

Citation

Chowdhury, K K., et al. "Electrosurgical Smoke: a Real Concern." Mymensingh Medical Journal : MMJ, vol. 20, no. 3, 2011, pp. 507-12.
Chowdhury KK, Meftahuzzaman SM, Rickta D, et al. Electrosurgical smoke: a real concern. Mymensingh Med J. 2011;20(3):507-12.
Chowdhury, K. K., Meftahuzzaman, S. M., Rickta, D., Chowdhury, T. K., Chowdhury, B. B., & Ireen, S. T. (2011). Electrosurgical smoke: a real concern. Mymensingh Medical Journal : MMJ, 20(3), pp. 507-12.
Chowdhury KK, et al. Electrosurgical Smoke: a Real Concern. Mymensingh Med J. 2011;20(3):507-12. PubMed PMID: 21804521.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Electrosurgical smoke: a real concern. AU - Chowdhury,K K, AU - Meftahuzzaman,S M, AU - Rickta,D, AU - Chowdhury,T K, AU - Chowdhury,B B, AU - Ireen,S T, PY - 2011/8/2/entrez PY - 2011/8/2/pubmed PY - 2011/12/17/medline SP - 507 EP - 12 JF - Mymensingh medical journal : MMJ JO - Mymensingh Med J VL - 20 IS - 3 N2 - Electrosurgical techniques including laser surgery have expanded greatly in recent years. Pyrolysis of tissue produces smoke. Recently the smoke is being analyzed using Gas Chromatography-Mass Spectrometry. The nature of smoke depends on the rise of temperature of tissue during electro-surgery. The smoke produced at high temperatures contains low concentration of Group-I carcinogens (IARC) such as Benzene, Hydrogen cyanide, Formaldehyde 1,3-Butadiene and Acrylonitrile. Bioaerosol produced at low temperature as in harmonic scissors may contain live multidrug resistant Mycobacterium tuberculosis, viral DNA of HBV, HCV, HIV and HPV. It also contains live malignant cells and dead cellular materials. These produce an unquantified infection risk. The obnoxious smoke causes ocular and upper respiratory tract irritation, creates visual problems for surgeons. Surgical masks are not capable of filtering the produced bioaerosol. Removal of smoke from the site of operation by local exhaust ventilation is not complete. When produced in a closed cavity as in laparoscopic surgery the patient also suffers from carboxyhaemoglobinaemia and methaemoglobinaemia. Methemoglobinaemia is not detected by standard pulse-oximetry. Laser smoke produces congestive interstitial pneumonia, bronchiolitis and emphysema in rats. Chromosomal aberration and sister chromatid exchange have been found in lymphocyte culture of operating room personnel. Occupational safety and health authorities like Occupational Safety and Health Administration (OSHA), National Institute for Occupational safety and Health (NIOSH), American National Standard Institute (ANSI) and Association of Operating room nurses (AORN) are trying to find effective ways for removal of smoke from site of operation and also the real risk to operating room personnel. Answer lies in minimizing the use of electrocautery whenever possible and completes removal of harmful smoke. SN - 1022-4742 UR - https://www.unboundmedicine.com/medline/citation/21804521/Electrosurgical_smoke:_a_real_concern_ L2 - http://hivinsite.ucsf.edu/InSite?page=kb-05-02-01 DB - PRIME DP - Unbound Medicine ER -