Surgical smoke and ultrafine particles

<p>Abstract</p> <p>Background</p> <p>Electrocautery, laser tissue ablation, and ultrasonic scalpel tissue dissection all generate a 'surgical smoke' containing ultrafine (<100 nm) and accumulation mode particles (< 1 μm). Epidemiological and toxicologica...

Full description

Bibliographic Details
Main Authors: Nowak Dennis, Pitz Mike, Jauch Karl-Walter, Preissler Gerhard, Brüske-Hohlfeld Irene, Peters Annette, Wichmann H-Erich
Format: Article
Language:English
Published: BMC 2008-12-01
Series:Journal of Occupational Medicine and Toxicology
Online Access:http://www.occup-med.com/content/3/1/31
_version_ 1811305248945340416
author Nowak Dennis
Pitz Mike
Jauch Karl-Walter
Preissler Gerhard
Brüske-Hohlfeld Irene
Peters Annette
Wichmann H-Erich
author_facet Nowak Dennis
Pitz Mike
Jauch Karl-Walter
Preissler Gerhard
Brüske-Hohlfeld Irene
Peters Annette
Wichmann H-Erich
author_sort Nowak Dennis
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Electrocautery, laser tissue ablation, and ultrasonic scalpel tissue dissection all generate a 'surgical smoke' containing ultrafine (<100 nm) and accumulation mode particles (< 1 μm). Epidemiological and toxicological studies have shown that exposure to particulate air pollution is associated with adverse cardiovascular and respiratory health effects.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>Electro-cauterization and argon plasma tissue coagulation induced the production of very high number concentration (> 100000 cm<sup>-3</sup>) 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.</p> <p>Conclusion</p> <p>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>
first_indexed 2024-04-13T08:23:16Z
format Article
id doaj.art-20bffb137f3d458ca04b61d12c13e82b
institution Directory Open Access Journal
issn 1745-6673
language English
last_indexed 2024-04-13T08:23:16Z
publishDate 2008-12-01
publisher BMC
record_format Article
series Journal of Occupational Medicine and Toxicology
spelling doaj.art-20bffb137f3d458ca04b61d12c13e82b2022-12-22T02:54:35ZengBMCJournal of Occupational Medicine and Toxicology1745-66732008-12-01313110.1186/1745-6673-3-31Surgical smoke and ultrafine particlesNowak DennisPitz MikeJauch Karl-WalterPreissler GerhardBrüske-Hohlfeld IrenePeters AnnetteWichmann H-Erich<p>Abstract</p> <p>Background</p> <p>Electrocautery, laser tissue ablation, and ultrasonic scalpel tissue dissection all generate a 'surgical smoke' containing ultrafine (<100 nm) and accumulation mode particles (< 1 μm). Epidemiological and toxicological studies have shown that exposure to particulate air pollution is associated with adverse cardiovascular and respiratory health effects.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>Electro-cauterization and argon plasma tissue coagulation induced the production of very high number concentration (> 100000 cm<sup>-3</sup>) 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.</p> <p>Conclusion</p> <p>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>http://www.occup-med.com/content/3/1/31
spellingShingle Nowak Dennis
Pitz Mike
Jauch Karl-Walter
Preissler Gerhard
Brüske-Hohlfeld Irene
Peters Annette
Wichmann H-Erich
Surgical smoke and ultrafine particles
Journal of Occupational Medicine and Toxicology
title Surgical smoke and ultrafine particles
title_full Surgical smoke and ultrafine particles
title_fullStr Surgical smoke and ultrafine particles
title_full_unstemmed Surgical smoke and ultrafine particles
title_short Surgical smoke and ultrafine particles
title_sort surgical smoke and ultrafine particles
url http://www.occup-med.com/content/3/1/31
work_keys_str_mv AT nowakdennis surgicalsmokeandultrafineparticles
AT pitzmike surgicalsmokeandultrafineparticles
AT jauchkarlwalter surgicalsmokeandultrafineparticles
AT preisslergerhard surgicalsmokeandultrafineparticles
AT bruskehohlfeldirene surgicalsmokeandultrafineparticles
AT petersannette surgicalsmokeandultrafineparticles
AT wichmannherich surgicalsmokeandultrafineparticles