Best Practices for Surgical Smoke Evacuation and Filtration

IF 0.8 4区医学 Q4 NURSING Aorn Journal Pub Date : 2024-02-26 DOI:10.1002/aorn.14106

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Abstract

Surgical smoke is produced when surgical energy devices, such as electrosurgical units, lasers, and high-speed powered instruments, are used on tissue. It has been reported to contain toxic compounds (eg, hydrogen cyanide, benzene), bioaerosols, viruses (eg, human immunodeficiency virus), viable cancer cells, particles, blood fragments, and bacteria. Perioperative personnel, including surgeons, nurses, anesthesia professionals, and surgical technologists, are exposed to surgical smoke and its associated hazards (eg, respiratory, carcinogenic). To help protect personnel from these hazards and decrease their potential health risks, AORN recommends that health care organizations provide an environment free of surgical smoke, which includes using smoke evacuation and filtration in addition to room ventilation.¹

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手术排烟和过滤的最佳做法

手术烟雾是在对组织使用电外科装置、激光和高速动力仪器等外科能源设备时产生的。据报道，手术烟雾中含有有毒化合物（如氰化氢、苯）、生物气溶胶、病毒（如人类免疫缺陷病毒）、存活的癌细胞、微粒、血液碎片和细菌。围手术期人员，包括外科医生、护士、麻醉专业人员和手术技师，都会接触到手术烟雾及其相关危害（如呼吸道危害、致癌危害）。为了帮助保护工作人员免受这些危害并降低其潜在的健康风险，AORN 建议医疗机构提供一个无手术烟雾的环境，其中包括在室内通风的基础上进行排烟和过滤。手术排烟和过滤的最佳实践。

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来源期刊

Aorn Journal Nursing-Medical and Surgical Nursing

CiteScore

1.10

自引率

11.10%

发文量

229

期刊介绍： The AORN Journal provides professional perioperative registered nurses with evidence-based practice information needed to help meet the physiological, behavioral, safety, and health system needs of a diverse patient population. Journal content supports the clinical, research/quality improvement, education, and management strategies related to the nurse''s role in caring for patients before, during, or after operative and other invasive and interventional procedures in ambulatory and inpatient settings.