Surgical Smoke Plume Article Library - Laser


Title Category Publication Date Description Publication Author

 

Chemical Composition of Smoke Produced by High-frequency Electrosurgery

 

Aesthetics, Cardiothoracic, Dermatology, Drills, ENT, General, Laparoscopic, Laser, Orthopedic, Plastic, Plume, Saws, Smoke

 

7/1/2007

 

This study demonstrated the presence of irritant, carcinogenic and neurotoxic compounds in electrosurgical smoke such as toluene, ethylbenzene and xylene. This may have considerable implications for the health and safety of all involved in surgical practice, as exposure to these compounds pose potential risks to health.

 

Irish Journal of Medical Science

 

O.S. Al Sahaf; I.Vega-Carrascal; F.O. Cunningham; J.P. MCGrath; F.J. Bloomfield

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Comparison of Current and Past Surgical Smoke Control Practices

 

Aesthetics, Cardiothoracic, Dentistry, Dermatology, Drills, ENT, Laparoscopic, Laser, OB/GYN, Orthopedic, Plastic, Plume, Veterinary

 

3/1/2012

 

This is the result of a survey conducted by the authors regarding various surgical smoke control practices throughout the United States. The results showed a variety of Local Exhaust Ventilation, Suction and respiratory protection measures.

 

AORN Journal

 

Ben E. Edwards, MS, CLSO, RRPT, CHP, CMLSO; Robert E. Reiman, MSPH, MD

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Effects of Plume Produced by the Nd: YAG Laser and Electrocautery on the Respiratory System

 

Dermatology, ENT, General, Laser

 

1/1/1993

 

Lasers have assumed an increasingly important role in otolaryngology head and neck surgery in the past 10 years, with numerous studies in the literature supporting the use of this modality of treatment for various head and neck diseases.

 

 Wiley-Liss, Inc., Vol 13

 

Barry L. Wenig, MD; Kerstin M. Stenson, MD; Diane Tracey, BS

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Electrosurgery Revisted

 

Laser, OB/GYN

 

2/3/2009

 

This article discusses the hazards of surgical smoke plume, including the presence of HPV, HIV and other viruses as well as DNA. They also discuss the use of smoke evacuators.

 

Journal of Gynecologic Surgery

 

Baggish, Michael

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Laryngeal Papillomatosis with Human Papillomavirus DNA Contracted by a Laser Surgeon

 

 

Laser

 

1/1/1991

 

A 44-year-old laser surgeon presented with laryngeal papillomatosis. In situ DNA hybridization of tissue from these tumors revealed human papillomavirus DNA types 6 and 11. Past history revealed that the surgeon has given laser therapy to patients with anogenital condylomas, which are known to harbor the same viral types. These findings suggest that the papillomas in our patient may have been caused by inhales virus particles present in the laser plume.

 

European Archives of Oto-Rhino-Laryngology, Vol 248

 

P. Hallmo; O.Naess

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Maximizing Surgeon Safety During Excimer Laser Photorefractive Procedures

 

 

Laser

 

12/1/2002

 

This year, it has been estimated that more than 1 million excimer laser procedures will be performed in the United States alone. A number of viral pathogens have been identified in tears and the ocular surface. This raises the possibility that viral particles or subcomponents may become part of the airborne contaminants of the laser that are ejected into the air at supersonic speed during excimer laser ablation. A number of laboratory studies have been designed and executed to test this hypothesis.

 

American Journal of Ophthalmology, Vol 130, No 6

 

Jay S. Pepose, MD, PhD

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Pilot Study of Directional Airflow and Containment of Airborne Particles in the Size of Mycobacterium Tuberculosis in an Operating Room

 

 

Aesthetics, Cardiothoracic, Dentistry, Dermatology, Drills, ENT, General, Laparoscopic, Laser, OB/GYN, Plastic, Plume, Reamers, Saws, Smoke

 

5/1/2008

 

This pilot study clearly indicates that avoiding the use of freestanding HEPA filters inside an OR during a surgical procedure is prudent and consistent with Centers for Disease Control and Prevention guidelines.

 

American Journal of Infection Control, Vol 36, No 4

 

Russell N. Olmsted, MPH, CIC

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Presence of Human Immunodeficiency Virus DNA in Laser Smoke

 

Laser

 

1/1/1991

 

Laser vaporous by-products (plume) have been shown to contain fine particulate matter which creates anatomically identifiable lesions when chronically inspired…

 

Lasers in Surgery & Medicine, Vol 11

 

Michael S. Baggish, MD; Bernard J. Poiesz, MD; Dale Joret, MD; Patrick Williamson, MD; Ashraf Refai, MD

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Surgical Smoke a Health Hazard in the Operating Theatre: A study to quantify exposure and a survey of the use of smoke extractor systems in UK plastic surgery units

 

Aesthetics, Cardiothoracic, Dentistry, Dermatology, Drills, ENT, General, Laparoscopic, Laser, Plastic, Plume, Reamers, Saws, Smoke

 

1/1/2012

 

This study looked at the contents of surgical plume in the United Kingdom from plastic surgery centers. Their results revealed the equivalent mutagenicity and other hazards as smoking 27-30 cigarettes per day for OR staff. The contents of the plume were very similar to those of tobacco smoke and have the same disease causing capability.

 

Elsevier

 

D.S.Hill, J.K. O'Neill, R.J. Powell, D.W. Oliver

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Surgical Smoke and Infection Control

 

Laparoscopic, Laser

 

1/1/2006

 

Gaseous byproducts produced during electrocautery, laser surgery or the use of ultrasonic scalpels are usually referred to as ‘surgical smoke’. This smoke, produced with or without a heating process, contains bio-aerosols with viable and non-viable cellular material that subsequently poses a risk of infection (human immunodeficiency virus, hepatitis B virus, human papillomavirus) and causes irritation to the lungs leading to acute and chronic inflammatory changes...

 

Journal of Hospital Infection

 

E. Alp, D.Bijl; R.P. Bleichrodt; B. Hansson; A. Voss

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Surgical Smoke and Ultrafine Particles

 

 

General, Laser

 

1/1/2008

 

This article takes measures to quantify the amount of particulate that resides within surgical smoke plume during a series of different procedures. As part of their examination, the authors discuss the respiratory hazards associated with the inhalation of particles less than 2.5 microns as these particles are able to reach the deepest regions of the lungs, the alveolar.

 

Journal of Occupational Medicine and Toxicology

 

Irene Brüske-Hohlfeld; Gerhard Preissler; Karl-Walter Jauch; Mike Pitz; Dennis Nowak; Annette Peters; H-Erich Wichmann

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Call to Tackle Toxic Surgery Smoke Risk for Doctors, Nurses, Patients

 

Aesthetics, Cardiothoracic, Dentistry, Dermatology, Drills, ENT, General, Laparoscopic, Laser, OB/GYN, Orthopedic, Plastic, Plume, Reamers, Saws, Veterinary

 

5/29/2016

 

Surgeons, nurses and patients are being exposed to toxic surgical smoke from burnt body parts, and health staff want new safety measures to combat the risks in New Zealand hospitals.

 

Stuff.co.nz

 

John Weekes

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Health Risk Assessment of VOCs from Surgical Smoke

 

Aesthetics, Cardiothoracic, Dermatology, Drills, Electrosurgery, ENT, General, Laparoscopic, Laser, Orthopedic, Plastic, Plume, Reamers, Saws, Smoke, Urology, Veterinary

 

7/1/2017

 

The authors conduct a health risk analysis based on exposure to surgical smoke and length of exposure. They found an increased risk of cancer based on the quantity of benzene and formaldehyde found in surgical smoke. They recommend the use of a high flow vacuum device to remove surgical smoke at the source as a means of protection.

 

Creative Commons CC

 

Shaohua She, Gang Lu, Wah Yang, Mianwei Hong, and Lingfei Zhu

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Health Risk Assessment of VOCs from Surgical Smoke

 

 

a, Aesthetics, Cardiothoracic, Dermatology, General, Laparoscopic, Laser, Plastic, Reamers, Saws, Veterinary

 

7/17/2017

 

The authors conduct a health risk analysis based on exposure to surgical smoke and length of exposure. They found an increased risk of cancer based on the quantity of benzene and formaldehyde found in surgical smoke. They recommend the use of a high flow vacuum device to remove surgical smoke at the source as a means of protection.

 

Creative Commons CC

 

Shaohua She, Gang Lu, Wah Yang, Mianwei Hong, and Lingfei Zhu

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The Examination of Problems Experienced by Nurses and Doctors Associated with Exposure to Surgical Smoke and the Necessary Precautions

 

 

Aesthetics, Cardiothoracic, Dermatology, ENT, General, Laser, OB/GYN, Orthopedic, Veterinary

 

1/1/2018

 

This article researches the problems experienced by the nurses and doctors as a result of exposure to surgical smoke included: headache, watering of the eyes, cough, sore throat, bad odors absorbed in the hair, and nausea; then drowsiness, dizziness, sneezing and rhinitis.

 

Journal of Clinical Nursing

 

Arzu Ilce, Ganime Esra, Yuzden, Meryem Yavuz van Giersbergen

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