Most healthcare practioners are well aware of the hazards related to exposure to surgical smoke. What many are not aware of is the hazard of surgical smoke to the patient. There have been many studies that look at the effects and potential effects of exposure to the contents of surgical smoke to healthcare workers as well as many documented cases of primary disease caused by smoke and transfer of disease from patient to caregiver.

With increased use of nanotechnology in industry, there has been an increase in the number of studies on the health effects and biokenetics of these nanoparticles on the body. These particles are the same size and have many of the same characteristics as surgical smoke. We will discuss this information and how these studies verify what we know about surgical smoke and how it affects the healthcare worker and the patient, as well as the fetus of pregnant patients undergoing surgery with energy based devices such as lasers.

We will also discuss interventions to mitigate these hazards and keep the operating room or procedure room safe, and getting everyone on board in a cost effective, efficient way.

1.
Annexes to the At-instruction no. 11/2008, H.R. Res. At-instruction no. 11/2008, (Denmark) Annexes to the At-instruction no. 11/2008 1 (2014)(enacted).
2.
Bargman
,
H.
(2011,
February
2011
).
Laser-generated Airborne Contaminants
.
The Journal of Clinical and Aesthetic Dermatology
,
4
,
57
58
.
3.
Bruske-Hohlfeld
,
I.
,
Preissler
,
G.
,
Pitz
,
M.
,
Nowak
,
D.
,
Peters
,
A.
, &
Wichmann
,
H.
(2008, 3
December
2008
).
Surgical Smoke and Ultrafine Particles
.
Journal of Occupational Medicine and Toxicology
,
3
,
1
6
.
4.
Centers for Disease Control and Prevention. (n.d.)
.
Respirator Trusted-Source Information
.
Retrieved from The National Personal Protective Technology Laboratory
: http://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/RespSource3healthcare.html#e
5.
Dobrogowski
,
M.
,
Wesolowski
,
W.
,
Kucharska
,
M.
,
Sapota
,
A.
, &
Pomorski
,
L. S.
(
2014
).
Chemical Composition of Surgical Smoke Formed in the Abdominal Cavity During Laparoscopic Cholecystectomy – Assessment of the Risk to the Patient
.
International Journal of Occupational Medicine and Environmental Health
,
27
,
314
325
.
6.
Fletcher
,
J. N.
,
Mew
,
D.
, &
DesCoteaux
,
J.
(
1999
,
July
).
Dissemination of Melanoma Cells within Electrocautery Plume
.
THE AMERICAN JOURNAL OF SURGERY
,
178
,
57
59
.
7.
Geiser
,
M.
, &
Kreyling
,
W. G.
(
2010
).
Deposition and biokenetics of inhaled nanoparticles
.
Particle and Fibre Technology
,
7
(
7
),
1
17
.
8.
Mellor
,
G.
, &
Hutchinson
,
M.
(
2013
).
Is It Time for a More Systematic Approach to the Hazards of Surgical Smoke? Reconsidering the Evidence
.
WORKPLACE HEALTH & SAFETY
,
61
,
265
270
.
9.
Oganesyan
,
G.
,
Eimpunth
,
S.
,
Kim
,
S. S.
, &
Jiang
,
S. I.
(
2014
,
December
). Surgical Smoke in Dermatologic Surgery.
American Society for Dermatologic Surgery
,
40
,
1373
1377
.
10.
Rioux
,
M.
,
Garland
,
A.
,
Webster
,
D.
, &
Reardon
,
E.
(
2013
).
HPV positive tonsillar cancer in two laser surgeons: case reports
.
Journal of Otolaryngology - Head and Neck Surgery
,
42
(
54
),
1
4
.
11.
Tseng
,
H.
,
Liu
,
S.
,
Uang
,
S.
,
Yang
,
L.
,
Lee
,
S.
,
Liu
,
Y.
, &
Chen
,
D.
(
2014
).
Cancer risk of incremental exposure to polycyclic aromatic hydrocarbons in electrocautery smoke for mastectomy personnel
.
WORLD JOURNAL OF SURGICAL ONCOLOGY
,
12
,
1
8
. http://www.wjso.com/content/12/1/31
12.
Work Health and Safety - Controlling Exposure to Surgical Plume
,
GL2015_002 Ministry of Health, NSW § H14/3473 et seq
. (
2015
).
13.
Yeh
,
C. R.
(
1997
).
Surgical Smoke Plume: Principles and Function of Smoke
,
Aerosol, Gasses, and Smoke Evacuators. Surgical Services Management
,
3
(
4
),
41
45
.
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