Claudio Caroline Vieira, Ribeiro Renata Perfeito, Martins Júlia Trevisan, Marziale Maria Helena Palucci, Solci Maria Cristina, Dalmas José Carlos
MSc, RN, Hospital do Coração de Londrina, Londrina, PR, Brazil.
PhD, Adjunct Professor, Departamento de Enfermagem, Universidade Estadual de Londrina, Londrina, PR, Brazil.
Rev Lat Am Enfermagem. 2017 Mar 2;25:e2853. doi: 10.1590/1518-8345.1561.2853.
analyze the concentration of polycyclic aromatic hydrocarbons in electrocautery smoke in operating rooms and the use of personal protective equipment by the intraoperative team when exposed to hydrocarbons.
exploratory and cross-sectional field research conducted in a surgery center. Gases were collected by a vacuum suction pump from a sample of 50 abdominal surgeries in which an electrocautery was used. A form was applied to identify the use of personal protective equipment. Gases were analyzed using chromatography. Descriptive statistics and Spearman's test were used to treat data.
there were 17 (34%) cholecystectomies with an average duration of 136 minutes, while the average time of electrocautery usage was 3.6 minutes. Airborne hydrocarbons were detected in operating rooms in 100% of the surgeries. Naphthalene was detected in 48 (96.0%) surgeries and phenanthrene in 49 (98.0%). The average concentration of these compounds was 0.0061 mg/m3 and a strong correlation (0.761) was found between them. The intraoperative teams did not use respirator masks such as the N95.
electrocautery smoke produces gases that are harmful to the health of the intraoperative team, which is a concern considering the low adherence to the use of personal protective equipment.
分析手术室电灼烟雾中多环芳烃的浓度，以及术中团队在接触碳氢化合物时个人防护设备的使用情况。
在一家手术中心进行探索性横断面现场研究。通过真空抽吸泵从50例使用电灼的腹部手术样本中收集气体。应用一份表格来确定个人防护设备的使用情况。使用色谱法对气体进行分析。采用描述性统计和Spearman检验处理数据。
有17例（34%）胆囊切除术，平均持续时间为136分钟，而电灼平均使用时间为3.6分钟。100%的手术中在手术室检测到空气中的碳氢化合物。48例（96.0%）手术中检测到萘，49例（98.0%）手术中检测到菲。这些化合物的平均浓度为0.0061毫克/立方米，且它们之间存在强相关性（0.761）。术中团队未使用如N95等呼吸面罩。
电灼烟雾产生对术中团队健康有害的气体，考虑到个人防护设备使用依从性低，这令人担忧。
