Carbajo-Rodríguez Hilario, Aguayo-Albasini José Luis, Soria-Aledo Víctor, García-López Concepción
Servicio de Prevención de Riesgos Laborales, Hospital General Universitario Morales Meseguer, Murcia, España.
Cir Esp. 2009 May;85(5):274-9. doi: 10.1016/j.ciresp.2008.10.004. Epub 2009 Apr 18.
The application of the advanced technologies in medicine has led to the appearance of new risk factors for health personnel. One of these could be the surgical smoke produced by electrosurgical instruments, ultrasounds or laser. However, there is still insufficient evidence in the published population studies on the detrimental effects of chronic exposure to surgical smoke. The main concern on the possible damage to the health of operating room staff is mainly based on the components currently detected until the date and laboratory experiments. Caution must also be used when extrapolating the results of in vitro studies to daily clinical practice. The organisations responsible for protecting the health of the workers in different countries have still not issued guidelines for the treatment and removal of the surgical smoke generated in both open and laparoscopic procedures. In this article we try to present a view of the consequences that surgical smoke has on health and the preventive measures that can be adopted.
先进技术在医学中的应用导致了卫生人员面临新的风险因素。其中之一可能是电外科器械、超声或激光产生的手术烟雾。然而，已发表的人群研究中关于长期接触手术烟雾的有害影响的证据仍然不足。目前对手术室工作人员健康可能造成损害的主要担忧主要基于迄今为止检测到的成分和实验室实验。在将体外研究结果外推至日常临床实践时也必须谨慎。不同国家负责保护工人健康的组织尚未发布关于处理和清除开放手术和腹腔镜手术中产生的手术烟雾的指南。在本文中，我们试图阐述手术烟雾对健康的影响以及可采取的预防措施。
