Spruce Lisa
AORN J. 2018 Jul;108(1):24-32. doi: 10.1002/aorn.12273.
Surgical smoke is formed when energy-generating devices (ie, electrosurgery units, lasers, powered instruments) raise the intracellular temperature of tissue to at least 100º C (212º F), causing tissue vaporization in the form of surgical smoke. Surgical smoke contains components that are known health hazards, such as benzene, toluene, hydrogen cyanide, formaldehyde, volatile organic compounds, viruses, and bacteria. There have been case reports of human disease tied to the inhalation of surgical smoke; therefore, it is important for perioperative team members to minimize their exposure and patient exposure. In spite of the health risks, many perioperative departments do not consistently and effectively evacuate surgical smoke. This Back to Basics article provides basic steps that perioperative team members can take to protect themselves and their patients from the harm caused by surgical smoke exposure.
当能量产生设备（如电外科设备、激光、电动器械）将组织的细胞内温度升高到至少100摄氏度（212华氏度）时，就会形成手术烟雾，导致组织以手术烟雾的形式汽化。手术烟雾含有已知的健康危害成分，如苯、甲苯、氰化氢、甲醛、挥发性有机化合物、病毒和细菌。有关于因吸入手术烟雾而导致人类疾病的病例报告；因此，围手术期团队成员尽量减少自身及患者的暴露至关重要。尽管存在健康风险，但许多围手术期科室并未始终如一地有效排出手术烟雾。这篇基础文章提供了围手术期团队成员可以采取的基本步骤，以保护自己和患者免受手术烟雾暴露造成的伤害。
