Surgical smoke and ultrafine particles
2008

Surgical Smoke and Ultrafine Particles

publication Evidence: moderate

Author Information

Author(s): Irene Brüske-Hohlfeld, Gerhard Preissler, Karl-Walter Jauch, Mike Pitz, Dennis Nowak, Annette Peters, H-Erich Wichmann

Primary Institution: Ludwig-Maximilians-University

Hypothesis

This study aimed to measure the particle number concentration of ultrafine particles during different surgical procedures.

Conclusion

Our investigation showed a short term very high exposure to ultrafine particles for surgeons and close assisting operating personnel – alternating with longer periods of low exposure.

Supporting Evidence

  • Electro-cauterization and argon plasma tissue coagulation produced very high particle concentrations.
  • Particle concentrations peaked in the immediate local surrounding of the production side.
  • Background particle pollution in the operation room was usually below 100 cm-3.

Takeaway

When doctors use tools like lasers or electrocautery during surgery, they create smoke that has tiny particles in it, which can be harmful to their health.

Methodology

The study measured the amount of generated particulates in surgical smoke using a condensation particle counter during various surgical procedures.

Limitations

Measurements were only conducted once for each surgical procedure, making it impossible to determine typical emissions.

Digital Object Identifier (DOI)

10.1186/1745-6673-3-31

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