Literature DB >> 17346413

Current attitudes and practices towards diathermy smoke.

John Spearman1, George Tsavellas, Paul Nichols.   

Abstract

INTRODUCTION: The hazards of surgical smoke are well documented and electrosurgical units (ESUs) are an integral part of surgical practice. The aim of this study was to gauge the opinions of general surgical consultants, specialist registrars and senior theatre nurses in the Wessex Region towards the hazards of ESU smoke.
MATERIALS AND METHODS: A literature search was carried out using Ovid Medline. A questionnaire was sent to 169 consultants, SpRs and nurses in the 14 hospitals across the Wessex Region, exploring current practices, perceived hazards and whether adequate precautions were currently in use.
RESULTS: Only 3 of 98 surgeons used dedicated smoke extractors, despite the fact the majority (72%) felt that, currently, inadequate precautions were taken to protect staff and patients from surgical smoke. There was also uncertainty about the hazards amongst the respondents.
CONCLUSIONS: The use of smoke extraction equipment is very limited. Greater awareness of the hazards and available technology to extract fumes from the theatre environment might lead to greater uptake.

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Year:  2007        PMID: 17346413      PMCID: PMC1964566          DOI: 10.1308/003588407X155752

Source DB:  PubMed          Journal:  Ann R Coll Surg Engl        ISSN: 0035-8843            Impact factor:   1.891


  19 in total

1.  Are surgeons aware of the dangers of diathermy?

Authors:  T V Sudhindra; A Joseph; C J Hacking; P N Haray
Journal:  Ann R Coll Surg Engl       Date:  2000-01       Impact factor: 1.891

2.  Electrosurgical smoke plume. Is it harmful to staff?

Authors:  A Hughes; J Hughes
Journal:  Br J Perioper Nurs       Date:  2001-06

3.  The hazards of surgical smoke. Not to be sniffed at!

Authors:  Jill Biggins; Steve Renfree
Journal:  Br J Perioper Nurs       Date:  2002-04

4.  Papillomavirus in the vapor of carbon dioxide laser-treated verrucae.

Authors:  J M Garden; M K O'Banion; L S Shelnitz; K S Pinski; A D Bakus; M E Reichmann; J P Sundberg
Journal:  JAMA       Date:  1988-02-26       Impact factor: 56.272

5.  The hazards of diathermy plume. Part 2. Producing quantified data.

Authors:  Eve Scott; Alan Beswick; Kathy Wakefield
Journal:  Br J Perioper Nurs       Date:  2004-10

6.  Randomized clinical trial of suction versus standard clearance of the diathermy plume.

Authors:  S H Pillinger; L Delbridge; D R Lewis
Journal:  Br J Surg       Date:  2003-09       Impact factor: 6.939

7.  The effects of laser smoke on the lungs of rats.

Authors:  M S Baggish; M Elbakry
Journal:  Am J Obstet Gynecol       Date:  1987-05       Impact factor: 8.661

8.  Human papillomavirus DNA in CO2 laser-generated plume of smoke and its consequences to the surgeon.

Authors:  A Ferenczy; C Bergeron; R M Richart
Journal:  Obstet Gynecol       Date:  1990-01       Impact factor: 7.661

9.  Infectious papillomavirus in the vapor of warts treated with carbon dioxide laser or electrocoagulation: detection and protection.

Authors:  W S Sawchuk; P J Weber; D R Lowy; L M Dzubow
Journal:  J Am Acad Dermatol       Date:  1989-07       Impact factor: 11.527

10.  The viability of cells in the waste products of CO2-laser evaporation of Cloudman mouse melanomas.

Authors:  J W Oosterhuis; R C Verschueren; R Eibergen; J Oldhoff
Journal:  Cancer       Date:  1982-01-01       Impact factor: 6.860

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  15 in total

1.  Evaluation of fine particles in surgical smoke from an urologist's operating room by time and by distance.

Authors:  Hong-Kai Wang; Fei Mo; Chun-Guang Ma; Bo Dai; Guo-Hai Shi; Yao Zhu; Hai-Liang Zhang; Ding-Wei Ye
Journal:  Int Urol Nephrol       Date:  2015-08-15       Impact factor: 2.370

Review 2.  Safety considerations for Health care Workers involved in Cytoreductive Surgery and Perioperative chemotherapy.

Authors:  Aditi Bhatt; Sourabh Mittal; K S Gopinath
Journal:  Indian J Surg Oncol       Date:  2016-02-02

3.  A single-blind controlled study of electrocautery and ultrasonic scalpel smoke plumes in laparoscopic surgery.

Authors:  J Edward F Fitzgerald; Momin Malik; Irfan Ahmed
Journal:  Surg Endosc       Date:  2011-09-05       Impact factor: 4.584

Review 4.  Surgical smoke and the anesthesia provider.

Authors:  Barry N Swerdlow
Journal:  J Anesth       Date:  2020-04-15       Impact factor: 2.078

5.  Electrostatic precipitation is a novel way of maintaining visual field clarity during laparoscopic surgery: a prospective double-blind randomized controlled pilot study.

Authors:  James Ansell; Neil Warren; Pete Wall; Kim Cocks; Stuart Goddard; Richard Whiston; Michael Stechman; David Scott-Coombes; Jared Torkington
Journal:  Surg Endosc       Date:  2014-02-26       Impact factor: 4.584

6.  Secondhand smoke in the operating room? Precautionary practices lacking for surgical smoke.

Authors:  Andrea L Steege; James M Boiano; Marie H Sweeney
Journal:  Am J Ind Med       Date:  2016-06-10       Impact factor: 2.214

7.  Polycyclic aromatic hydrocarbons in electrocautery smoke during peritonectomy procedures.

Authors:  Sara Näslund Andréasson; Haile Mahteme; Bo Sahlberg; Helena Anundi
Journal:  J Environ Public Health       Date:  2012-05-22

8.  Hand-held device for smoke extraction.

Authors:  P M King; D J Ferguson
Journal:  Ann R Coll Surg Engl       Date:  2010-07       Impact factor: 1.951

9.  "Something better than nothing" using the house hold electric chimney in the procedure room as an attempt to reduce the smell and biohazard.

Authors:  Kt Ashique; Feroze Kaliyadan
Journal:  J Cutan Aesthet Surg       Date:  2014-01

10.  Commentary On: "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".

Authors:  Nilay R Shah
Journal:  Ann Med Surg (Lond)       Date:  2012-08-25
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