Surgical Nursing Department, Faculty of Health Sciences, Bolu Abant Izzet Baysal University, Bolu, Turkey.
Department of Nursing, Bolu Abant Izzet Baysal University, Bolu, Turkey.
Biol Res Nurs. 2023 Jul;25(3):444-453. doi: 10.1177/10998004221151157. Epub 2023 Jan 7.
Surgical smoke can be a hazard because e it contains toxic gases with carcinogenic effects that may threaten health. This study aims to determine the effect of surgical smoke containing toxic chemicals on indoor air quality and examine employees' physical symptoms in the operating room.
The study was conducted in the operating room between June 2020 and July 2020. In the study, 45 air samples were taken before, during, and after surgery using the active sampling method. Nineteen employees working in the operating room were asked about their physical complaints and their throat cultures were taken before and after surgery. These results were compared with those of the employees working in internal units.
The Total Volatile Organic Compounds value at the time of surgery was significantly higher ( ≤ 0.05). Benzene concentrations remained constantly high ( ≤ 0.05) throughout the surgery, exceeding the limit values. Other VOCs (Volatile Organic Compounds) were significantly higher during surgery and remained below the limit values ( ≤ 0.05). When compared in terms of open and laparoscopic surgery, no difference between VOC concentrations was observed ( ≤ 0.05). The physical symptoms of the surgical team increased during the operation, and they experienced more complaints of tearing, burning in the eyes, hair odor, nausea, and cough than those working in the internal units (e.g., internal medicine, dermatology; ( ≤ 0.05).
Surgical smoke was an important contaminant for indoor air quality in the operating room.
手术烟雾可能会造成危害，因为它含有具有致癌作用的有毒气体，可能会威胁健康。本研究旨在确定含有有毒化学物质的手术烟雾对室内空气质量的影响，并检查手术室员工的身体症状。
该研究于 2020 年 6 月至 7 月在手术室进行。在研究中，使用主动采样法在手术前、手术中和手术后采集了 45 个空气样本。询问了 19 名在手术室工作的员工的身体不适情况，并在手术前后采集了他们的咽喉培养物。将这些结果与在内部科室（如内科、皮肤科）工作的员工进行了比较。
手术时总挥发性有机化合物（Total Volatile Organic Compounds，TVOC）的值明显更高（≤0.05）。苯浓度在整个手术过程中一直保持较高（≤0.05），超过了限值。其他挥发性有机化合物（Volatile Organic Compounds，VOCs）在手术期间明显升高，但仍低于限值（≤0.05）。在开放式和腹腔镜手术之间进行比较时，VOC 浓度没有差异（≤0.05）。手术团队的身体症状在手术过程中增加，与在内部科室工作的员工相比，他们经历了更多的流泪、眼睛灼烧、头发异味、恶心和咳嗽等抱怨（如内科、皮肤科；≤0.05）。
手术烟雾是手术室室内空气质量的重要污染物。
