Department of Paediatric Surgery, The Children's Hospital Pakistan Institute of Medical Sciences Islamabad, Pakistan.
J Ayub Med Coll Abbottabad. 2023 Oct-Dec;35(4):603-607. doi: 10.55519/JMAC-04-12200.
For thousands of years human beings have been using heat as a source of ligature and to treat the wound either it's from the trauma or fought in the wars. In 1854 an imminent surgeon Albrecht Theodor Middendorf published a paper on the application of electrocautery in surgical operations. The objective of the present study was to analyze the hazards of surgical smoke inhalation in Paediatric Surgery residents and to create awareness of its signs and symptoms, risk factors and utilizing preventive measures.
A Cross-sectional study was conducted involving all the Paediatric Surgery residents enrolled on a supervised training program in Pakistan between 1st July 2022 to 30th June 2023 at all the tertiary care hospitals in Pakistan. Their socio-demographic, academic data, signs and symptoms and risk factors were calculated. Data was analyzed with descriptive and comparative analysis using SPSS. A Pearson contingency coefficient is used to determine the association between categorical variables.
Our study included all the Paediatric Surgery residents in Pakistan n=155 over one year starting from July 1st 2022 to June 30th 2023. N=75 (48.4%) were males and n=80 (52.6%) were female residents. Their mean age was 29.5 years±4 (SD). 41% of the residents were from Khyber Teaching Hospital Peshawar, 32% from The Children's Hospital Lahore, 14% from National Institute of Child Health Karachi, 9.8% from The Children's Hospital Islamabad (PIMS) and 5.2% from Lady Reading Hospital Peshawar. N=135 (87.1%) of the residents used electrocautery while performing the surgery (p=0.006). N=121 (78.1%) were aware of its hazards (p=0.341). 90% think they are at an increased risk (p=0.032). Most of them (84.6%) wear a surgical mask while only (64%) wear protective equipment (p=0.321). Think they are at an increased risk of cancers (83.9%) (p=0.002) and should be screened (93.7%) (p=0.343).
Paediatric Surgery residents are at an increased risk of surgical smoke inhalation, pointing to the emerging need to adopt protective measures by creating awareness, and utilizing health safety checklists and smoke evacuation mechanisms in operation rooms. All residents should seek knowledge on the subject and use personal protective equipment for less harmful effects on their health.
几千年来，人类一直将热作为结扎的来源，并用于治疗创伤或战争造成的伤口。1854 年，一位杰出的外科医生 Albrecht Theodor Middendorf 发表了一篇关于在外科手术中应用电灼的论文。本研究的目的是分析小儿外科住院医师吸入手术烟雾的危害，并提高对其症状、危险因素的认识，以及利用预防措施。
本研究为横断面研究，纳入 2022 年 7 月 1 日至 2023 年 6 月 30 日期间在巴基斯坦所有三级保健医院接受监督培训计划的小儿外科住院医师。分析其社会人口统计学、学术数据、症状和危险因素。采用 SPSS 进行描述性和比较分析。采用 Pearson 列联系数确定分类变量之间的关联。
我们的研究包括 2022 年 7 月 1 日至 2023 年 6 月 30 日期间在巴基斯坦的所有小儿外科住院医师 n=155 名。n=75（48.4%）为男性，n=80（52.6%）为女性住院医师。他们的平均年龄为 29.5 岁±4（SD）。41%的住院医师来自白沙瓦的 Khyber 教学医院，32%来自拉合尔的儿童医院，14%来自卡拉奇的国家儿童健康研究所，9.8%来自伊斯兰堡的儿童医院（PIMS），5.2%来自白沙瓦的 Lady Reading 医院。n=135（87.1%）的住院医师在进行手术时使用电灼（p=0.006）。n=121（78.1%）知道其危害（p=0.341）。90%的人认为他们的风险增加（p=0.032）。他们中的大多数人（84.6%）在进行手术时戴手术口罩，而只有（64%）人戴防护设备（p=0.321）。认为自己患癌症的风险增加（83.9%）（p=0.002），应进行筛查（93.7%）（p=0.343）。
小儿外科住院医师吸入手术烟雾的风险增加，这表明需要通过提高认识、在手术室中使用健康安全检查表和烟雾清除机制来采取保护措施。所有住院医师都应了解这方面的知识，并使用个人防护设备，以减少对健康的有害影响。
