Guideline for surgical smoke safety.

Published on Oct 1, 2021in AORN Journal0.676
· DOI :10.1002/AORN.13523
Lisa Croke2
Estimated H-index: 2
Surgical smoke is reported to contain toxic compounds (e.g., hydrogen cyanide, toluene), bioaerosols, viruses (e.g., human papillomavirus [HPV]), potentially viable cancer cells, respirable particles 5.0 micrometers and smaller, blood fragments, and bacteria.1 According to Emily Jones, MSN, RN, CNOR, NPD-BC, perioperative practice specialist and lead author of the guideline, the content in this updated guideline was reorganized to align with the hierarchy of controls from the Centers for Disease Control and Prevention and the National Institute for Occupational Safety and Health. According to Jones, the recommendation for the perioperative team to determine a surgical smoke safety plan before each procedure during which smoke is anticipated was moved to this section to emphasize team communication, planning, and collaboration for surgical smoke safety. According to Jones, respiratory protection was separated out into its own section in this update to highlight the importance of PPE being used as secondary protection after effective surgical smoke management practices.
The COVID-19 pandemic has created uncertainty regarding the safety and appropriate utilization of minimally invasive surgery (MIS) during this current outbreak. Surgical governing bodies such as Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the Royal Colleges of Surgery of Great Britain and Ireland have made statements regarding the possibility of COVID-19 release into CO2 insufflant during MIS. The basis for this concern is prior evidence in the literature of other vi...
#1Ice V Limchantra (HMC: Harvey Mudd College)H-Index: 1
#2Yuman Fong (City of Hope National Medical Center)H-Index: 145
Last. Kurt Melstrom (City of Hope National Medical Center)H-Index: 6
view all 3 authors...
Importance Smoke generated during surgical procedures has long been thought to be hazardous to hospital personnel; however, the degree of danger has yet to be determined. Observations The dangers of surgical smoke are associated with the composition of the plume. Small-particulate matter is found in the smoke that is easily inhaled. Particulates deposit in the lungs, circulatory system, and other organs, which may cause numerous health problems. The smoke also contains many gaseous compounds kno...
This Month Defining a small amount of surgical smoke Key words: surgical smoke, medical-surgical vacuum system, suction tubing. Assessment of hazardous medications Key words: hazardous medications, safety data sheets, OSHA hazard communication. Documentation of electrosurgical devices Key words: electrosurgical device. Developing an explant policy Key words: explant, guideline, implant, policy.
Cited By1
Evacuating surgical smoke in the operating room protects patients and perioperative teams from the hazards associated with inhaling surgical smoke. States have passed bills mandating health care facilities and ambulatory surgery centers adopt policies to evacuate surgical smoke. We use a 5-step process for identifying options to reduce exposure to the harmful toxins found in surgical smoke and recommend executive nurse leaders collaborate with states and professional organizations to pursue smok...
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