Annette Peters

Dennis Nowak

Gerhard Preissler

H-erich Wichmann

Irene Brüske-hohlfeld

Karl-walter Jauch

Mike Pitz

Toxicology

English

PubMed

Abstract Background Electrocautery, laser tissue ablation, and ultrasonic scalpel tissue dissection all generate a 'surgical smoke' containing ultrafine ( Methods To measure the amount of generated particulates in 'surgical smoke' during different surgical procedures and to quantify the particle number concentration for operation room personnel a condensation particle counter (CPC, model 3007, TSI Inc.) was applied. Results Electro-cauterization and argon plasma tissue coagulation induced the production of very high number concentration (> 100000 cm-3) of particles in the diameter range of 10 nm to 1 μm. The peak concentration was confined to the immediate local surrounding of the production side. In the presence of a very efficient air conditioning system the increment and decrement of ultrafine particle occurrence was a matter of seconds, with accumulation of lower particle number concentrations in the operation room for only a few minutes. Conclusion Our investigation showed a short term very high exposure to ultrafine particles for surgeons and close assisting operating personnel – alternating with longer periods of low exposure.</p

Nowak Dennis

Pitz Mike

Jauch Karl-Walter

Preissler Gerhard

Brüske-Hohlfeld Irene

Peters Annette

Wichmann H-Erich

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Journal of Occupational Medicine and Toxicology

Surgical smoke and ultrafine particles

Electrocautery, laser tissue ablation, and ultrasonic scalpel tissue dissection all generate a &#39;surgical smoke&#39; containing ultrafine (&lt;100 nm) and accumulation mode particles (&lt; 1 mum). Epidemiological and toxicological studies have shown that exposure to particulate air pollution is associated with adverse cardiovascular and respiratory health effects. METHODS: To measure the amount of generated particulates in &#39;surgical smoke&#39; during different surgical procedures and to quantify the particle number concentration for operation room personnel a condensation particle counter (CPC, model 3007, TSI Inc.) was applied. RESULTS: Electro-cauterization and argon plasma tissue coagulation induced the production of very high number concentration (&gt; 100000 cm-3) of particles in the diameter range of 10 nm to 1 mum. The peak concentration was confined to the immediate local surrounding of the production side. In the presence of a very efficient air conditioning system the increment and decrement of ultrafine particle occurrence was a matter of seconds, with accumulation of lower particle number concentrations in the operation room for only a few minutes. CONCLUSION: Our investigation showed a short term very high exposure to ultrafine particles for surgeons and close assisting operating personnel - alternating with longer periods of low exposure

Brüske, I.

Preissler, G.

Jauch, K.-W.

Pitz, M.

Nowak, D.

Peters, A.

Wichmann, H.-E.

PuSH

Surgical smoke and ultrafine particles.

Irene Brüske-Hohlfeld

Karl-Walter Jauch

H-Erich Wichmann

Springer - Publisher Connector

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http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.358.4679

Surgical smoke and ultrafine particles

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