Dynamics of surgical smoke in the operating room during spinal surgery: Comparison of particulate matter 2.5-air concentration between the electric scalpel with and without a smoke evacuation pencil: A cross-sectional study

被引：3

作者：

Tanaka, Yuki ^{[1
]}

Sawakami, Kimihiko ^{[1
]}

Shoji, Hirokazu ^{[1
]}

Segawa, Hiroyuki ^{[1
]}

Ishikawa, Seiichi ^{[1
]}

Kameyama, Hitoshi ^{[3
]}

Ohashi, Masayuki ^{[2
]}

Watanabe, Kei ^{[2
]}

Kawashima, Hiroyuki ^{[2
]}

机构：

[1] Niigata City Gen Hosp, Dept Orthopaed Surg, Niigata, Japan

[2] Niigata Univ Med & Dent Hosp, Dept Regenerat & Transplant Med, Div Orthopaed Surg, Niigata, Japan

[3] Niigata City Gen Hosp, Dept Digest Surg, Niigata, Japan

来源：

JOURNAL OF ORTHOPAEDIC SCIENCE | 2023年 / 28卷 / 04期

关键词：

Surgical smoke; Spinal surgery; Coronavirus disease; Particulate matter 2.5; Electric scalpel; Smoke evacuation pencil; EXPOSURE;

D O I：

10.1016/j.jos.2022.04.010

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: Surgical smoke is a vaporous by-product generated during tissue incision and cauterization with an electric scalpel. This smoke contains tissue- and blood/vascular-derived substances, bacteria, viruses, and chemical substances. Among them, it contains many fine particles called particulate matter (PM) 2.5, which are harmful and hazardous to the human body. We aimed to investigate the occurrence of PM2.5 in surgical smoke produced during spinal surgery and to evaluate the efficacy of an electric scalpel with a smoke evacuation pencil. Methods: In this retrospective observational study, 89 patients who underwent spinal surgery between June 2019 and May 2021 were included. A dust monitor was installed in the operating room to measure the PM2.5 air concentration during the surgery. During each surgery, the total amount of PM2.5, the maximum PM2.5 air concentration, the exposure time to PM2.5, and the average value of PM2.5 air concentration from the start to the end of the surgery were calculated. Results: We found that in 29 of the 89 cases (32.6%), the air concentration of PM2.5 increased to a level that could cause health damage during the surgery. Twelve cases (13.4%) reached the level that could cause serious health damage, and 8 cases (9%) reached an emergency warning level. The total amount and the maximum and average levels of PM2.5 were significantly suppressed in the surgery with a smoke evacuation pencil group than in the surgery without a smoke evacuation pencil group. Conclusion: We detected hazardous levels of PM2.5 in the air during spinal surgery, highlighting the importance of considering smoke control or reduction during spinal surgery. We recommend using an electric scalpel with a smoke evacuation pencil for regulating PM2.5 levels in the operating room. (c) 2022 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.

引用

页码：740 / 744

页数：5