Surgical smoke is the by-product produced by electrosurgery, laser tissue ablation, or other surgical techniques. Surgical smoke, as a health threat to those exposed to it, has become a growing concern. Studies have demonstrated, depending on several factors, to possibly contain carcinogens, mutagens, irritant chemicals, live viruses and bacteria, and viable malignant cells. These all pose a theoretical and demonstrable risk of harming patients or operating room personnel upon exposure. Other names for surgical smoke are cautery smoke, plume, diathermy plume, or, sometimes, aerosols produced during surgery, vapor contaminants, or air contaminants.
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| - Fumées chirurgicales (fr)
- Surgical smoke (en)
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| - Les fumées chirurgicales provoquées par l'utilisation d'une source d'énergie durant un acte chirurgical, ces fumées peuvent présenter des dangers pour la santé des personnes présentes au bloc opératoire. Des polluants biologiques, organiques ainsi que des nanoparticules sont susceptibles de traverser la paroi alvéolaire et de rejoindre le système sanguin des personnes qui y sont exposées. (fr)
- Surgical smoke is the by-product produced by electrosurgery, laser tissue ablation, or other surgical techniques. Surgical smoke, as a health threat to those exposed to it, has become a growing concern. Studies have demonstrated, depending on several factors, to possibly contain carcinogens, mutagens, irritant chemicals, live viruses and bacteria, and viable malignant cells. These all pose a theoretical and demonstrable risk of harming patients or operating room personnel upon exposure. Other names for surgical smoke are cautery smoke, plume, diathermy plume, or, sometimes, aerosols produced during surgery, vapor contaminants, or air contaminants. (en)
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| - Les fumées chirurgicales provoquées par l'utilisation d'une source d'énergie durant un acte chirurgical, ces fumées peuvent présenter des dangers pour la santé des personnes présentes au bloc opératoire. Des polluants biologiques, organiques ainsi que des nanoparticules sont susceptibles de traverser la paroi alvéolaire et de rejoindre le système sanguin des personnes qui y sont exposées. (fr)
- Surgical smoke is the by-product produced by electrosurgery, laser tissue ablation, or other surgical techniques. Surgical smoke, as a health threat to those exposed to it, has become a growing concern. Studies have demonstrated, depending on several factors, to possibly contain carcinogens, mutagens, irritant chemicals, live viruses and bacteria, and viable malignant cells. These all pose a theoretical and demonstrable risk of harming patients or operating room personnel upon exposure. Other names for surgical smoke are cautery smoke, plume, diathermy plume, or, sometimes, aerosols produced during surgery, vapor contaminants, or air contaminants. Electrosurgery and laser ablation are the most common sources of surgical smoke. Heat generated during surgery causes cell membranes to heat and rupture, releasing cellular debris alongside water vapor. Surgical smoke is composed of 95% water with the remaining 5% contains byproducts of combustion and cellular debris. The negative health effects due to exposure of surgical smoke is attributed to what is contained in the 5%. The size of particles within the plume of smoke varies depending on the device that generated it. On average electrosurgery produces particles that are .07 μm, while laser ablation generates larger particles that are .31 μm on average. Particles smaller than 2 micrometers are able to reach the alveoli within the lower respiratory tract and, if 0.1 μm or smaller, can enter systemic circulation. The amount of cellular debris in a smoke plume changes with the tissue being cauterized. The liver has been shown to generate the largest amount of particles. Other than type of tissue and surgical device, operating room airflow can also affect smoke exposure. (en)
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