Fencl Jennifer L
AORN J. 2017 May;105(5):488-497. doi: 10.1016/j.aorn.2017.03.006.
Research conducted during the past four decades has demonstrated that surgical smoke generated from the use of energy-generating devices in surgery contains toxic and biohazardous substances that present risks to perioperative team members and patients. Despite the increase in information available, however, perioperative personnel continue to demonstrate a lack of knowledge of these hazards and lack of compliance with recommendations for evacuating smoke during surgical procedures. The new AORN "Guideline for surgical smoke safety" provides guidance on surgical smoke management. This article focuses on key points of the guideline to help perioperative personnel promote smoke-free work environments; evacuate surgical smoke; and develop education programs and competency verification tools, policies and procedures, and quality improvement initiatives related to controlling surgical smoke. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.
过去四十年来的研究表明，手术中使用能量产生设备所产生的手术烟雾含有有毒和生物有害物质，会对围手术期团队成员和患者构成风险。然而，尽管可获取的信息有所增加，但围手术期人员对这些危害的认识仍然不足，并且在手术过程中不遵守烟雾排放建议。新的美国手术室注册护士协会《手术烟雾安全指南》为手术烟雾管理提供了指导。本文重点关注该指南的要点，以帮助围手术期人员营造无烟工作环境；排出手术烟雾；并制定与控制手术烟雾相关的教育计划、能力验证工具、政策和程序以及质量改进措施。围手术期注册护士在撰写和更新政策及程序时，应查阅完整指南以获取更多信息和指导。
