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Effect of electrosurgery in the operating room on surgeons' blood indices: a simulation model and experiment on rabbits.
J Int Med Res 2018; 46(12):5245-5256JI

Abstract

OBJECTIVE

This study aimed to examine the content of surgical smoke in the operating room, and the health effects of exposure to surgical smoke on surgeons.

METHODS

We measured the content of surgical smoke in the operating room. The effect of exposure to surgical smoke on surgeons was examined using rabbits. Surgical smoke distribution was simulated to study the route of spread of surgical smoke. The effect of an evacuator was also evaluated.

RESULTS

In the operating room during electrosurgery, there was a high-content zone of surgical smoke (1.5 × 10-2%, carbon monoxide; 3.0 × 10-2%, carbon dioxide). In rabbit experiments, all groups that were exposed to surgical smoke showed significantly higher carboxyhemoglobin levels than did controls. Exposure to a high content of surgical smoke had a greater effect on blood indices than working continuously in the operating room.

CONCLUSIONS

During electro-laparotomy, carbon monoxide in the high-content and low-content zones is higher than the United States Environmental Protection Agency's limit. Carboxyhemoglobin levels may be > 10% with continuous operations over a week in the high-content zone in the operating room. Even with an evacuator, surgeons' blood indices can still be affected by surgical smoke.

Authors+Show Affiliations

1 Department of Reproductive Medicine, Puren Hospital Affiliated to Medical College of Wuhan University of Science and Technology, Wuhan, China.2 Department of Metallurgical Engineering, Wuhan University of Science and Technology, Wuhan, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30343611

Citation

Hui, Yu, and Jin Yan. "Effect of Electrosurgery in the Operating Room On Surgeons' Blood Indices: a Simulation Model and Experiment On Rabbits." The Journal of International Medical Research, vol. 46, no. 12, 2018, pp. 5245-5256.
Hui Y, Yan J. Effect of electrosurgery in the operating room on surgeons' blood indices: a simulation model and experiment on rabbits. J Int Med Res. 2018;46(12):5245-5256.
Hui, Y., & Yan, J. (2018). Effect of electrosurgery in the operating room on surgeons' blood indices: a simulation model and experiment on rabbits. The Journal of International Medical Research, 46(12), pp. 5245-5256. doi:10.1177/0300060518804376.
Hui Y, Yan J. Effect of Electrosurgery in the Operating Room On Surgeons' Blood Indices: a Simulation Model and Experiment On Rabbits. J Int Med Res. 2018;46(12):5245-5256. PubMed PMID: 30343611.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of electrosurgery in the operating room on surgeons' blood indices: a simulation model and experiment on rabbits. AU - Hui,Yu, AU - Yan,Jin, Y1 - 2018/10/21/ PY - 2018/10/23/pubmed PY - 2018/10/23/medline PY - 2018/10/23/entrez KW - Operating room KW - blood indices KW - carbon monoxide content KW - electrosurgery KW - laparotomy KW - smoke exposure KW - surgical smoke SP - 5245 EP - 5256 JF - The Journal of international medical research JO - J. Int. Med. Res. VL - 46 IS - 12 N2 - OBJECTIVE: This study aimed to examine the content of surgical smoke in the operating room, and the health effects of exposure to surgical smoke on surgeons. METHODS: We measured the content of surgical smoke in the operating room. The effect of exposure to surgical smoke on surgeons was examined using rabbits. Surgical smoke distribution was simulated to study the route of spread of surgical smoke. The effect of an evacuator was also evaluated. RESULTS: In the operating room during electrosurgery, there was a high-content zone of surgical smoke (1.5 × 10-2%, carbon monoxide; 3.0 × 10-2%, carbon dioxide). In rabbit experiments, all groups that were exposed to surgical smoke showed significantly higher carboxyhemoglobin levels than did controls. Exposure to a high content of surgical smoke had a greater effect on blood indices than working continuously in the operating room. CONCLUSIONS: During electro-laparotomy, carbon monoxide in the high-content and low-content zones is higher than the United States Environmental Protection Agency's limit. Carboxyhemoglobin levels may be > 10% with continuous operations over a week in the high-content zone in the operating room. Even with an evacuator, surgeons' blood indices can still be affected by surgical smoke. SN - 1473-2300 UR - https://www.unboundmedicine.com/medline/citation/30343611/Effect_of_electrosurgery_in_the_operating_room_on_surgeons'_blood_indices:_a_simulation_model_and_experiment_on_rabbits L2 - http://journals.sagepub.com/doi/full/10.1177/0300060518804376?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -