Bree Kevin, Barnhill Spencer, Rundell William
1 Wright State University.
Workplace Health Saf. 2017 Nov;65(11):517-526. doi: 10.1177/2165079917691063. Epub 2017 Apr 17.
A 2007 study in the United Kingdom showed that three of 98 surgeons surveyed admitted using dedicated smoke extractors; 72% of respondents believed inadequate precautions were in place to protect staff from the potential dangers of electrosurgical smoke. Surgical smoke contains harmful chemicals (e.g., hydrogen cyanide, acetylene, and butadiene) that can circumvent standard masks used in the operating room (OR). In addition, bacteria and viruses can be transmitted through this smoke. The topic of electrosurgical smoke is important to occupational health nurses not only because of their responsibility to protect workers, but also because they, like other health care providers, may be exposed to smoke routinely. The authors of this review recommend the regular use of smoke evacuation in ORs and avoidance of electrosurgery whenever possible to protect OR personnel from the potential long-term harmful effects of electrosurgical smoke.
2007年在英国进行的一项研究表明，在接受调查的98名外科医生中，有3人承认使用了专用烟雾抽吸器；72%的受访者认为，在保护工作人员免受电外科烟雾潜在危险方面，预防措施并不充分。手术烟雾中含有有害化学物质（如氰化氢、乙炔和丁二烯），这些物质可以穿透手术室（OR）中使用的标准口罩。此外，细菌和病毒也可以通过这种烟雾传播。电外科烟雾这一话题对职业健康护士来说很重要，不仅因为他们有责任保护工作人员，还因为他们和其他医疗服务提供者一样，可能会经常接触到烟雾。这篇综述的作者建议在手术室中定期使用烟雾抽吸装置，并尽可能避免进行电外科手术，以保护手术室工作人员免受电外科烟雾潜在的长期有害影响。
