A study to quantify surgical plume and survey the efficiency of different local exhaust ventilations
Abstract This study aimed to compare the concentration of surgical smoke produced by different tissues and electric diathermy modes and to measure the effectiveness of various local exhaust ventilations. We compared the surgical plume concentration from different tissues and settings with a porcine...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2021-07-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-92859-9 |
| _version_ | 1819036888233672704 |
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| author | Ping-Chia Cheng Ming-Hsun Wen Wan-Lun Hsu Po-Wen Cheng Li-Jen Liao |
| author_facet | Ping-Chia Cheng Ming-Hsun Wen Wan-Lun Hsu Po-Wen Cheng Li-Jen Liao |
| author_sort | Ping-Chia Cheng |
| collection | DOAJ |
| description | Abstract This study aimed to compare the concentration of surgical smoke produced by different tissues and electric diathermy modes and to measure the effectiveness of various local exhaust ventilations. We compared the surgical plume concentration from different tissues and settings with a porcine tissue model. We also compared the efficiency of three local exhaust ventilations: (1) a desktop unit (Medtronic Rapid Vac), (2) a central evacuation system with ENT suction, and (3) a central evacuation system with a urethral catheter (PAHSCO Urethral Catheter). In the cutting setting, the skin tissue had a higher concentration of total suspended particulates (TPS), which were 1990 ± 2000 (mean ± SD, μg/m3), 6440 ± 3000 and 9800 ± 2300 at 15, 30 and 45 s, respectively (p < 0.05). In the coagulation setting, the adipose tissue had a higher concentration of TPS, which were 3330 ± 2600, 11,200 ± 5500 and 15,800 ± 7300, respectively (p < 0.05). We found that all three smoke extractors had more than 96% efficiency in clearing surgical smoke. With electric diathermy, skin tissue in the cutting model and adipose tissue in the coagulation mode will produce higher concentration of particles within surgical plumes. An electric surgical scalpel adapted with a urethral catheter is a simple and effective way to exhaust smoke in surgical operations. |
| first_indexed | 2024-12-21T08:12:40Z |
| format | Article |
| id | doaj.art-54b39920273c4563afbe6c5d01896582 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-21T08:12:40Z |
| publishDate | 2021-07-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-54b39920273c4563afbe6c5d018965822022-12-21T19:10:38ZengNature PortfolioScientific Reports2045-23222021-07-011111810.1038/s41598-021-92859-9A study to quantify surgical plume and survey the efficiency of different local exhaust ventilationsPing-Chia Cheng0Ming-Hsun Wen1Wan-Lun Hsu2Po-Wen Cheng3Li-Jen Liao4Department of Otolaryngology Head and Neck Surgery, Far Eastern Memorial HospitalDepartment of Otolaryngology Head and Neck Surgery, Far Eastern Memorial HospitalGenomics Research Center, Academia SinicaDepartment of Otolaryngology Head and Neck Surgery, Far Eastern Memorial HospitalDepartment of Otolaryngology Head and Neck Surgery, Far Eastern Memorial HospitalAbstract This study aimed to compare the concentration of surgical smoke produced by different tissues and electric diathermy modes and to measure the effectiveness of various local exhaust ventilations. We compared the surgical plume concentration from different tissues and settings with a porcine tissue model. We also compared the efficiency of three local exhaust ventilations: (1) a desktop unit (Medtronic Rapid Vac), (2) a central evacuation system with ENT suction, and (3) a central evacuation system with a urethral catheter (PAHSCO Urethral Catheter). In the cutting setting, the skin tissue had a higher concentration of total suspended particulates (TPS), which were 1990 ± 2000 (mean ± SD, μg/m3), 6440 ± 3000 and 9800 ± 2300 at 15, 30 and 45 s, respectively (p < 0.05). In the coagulation setting, the adipose tissue had a higher concentration of TPS, which were 3330 ± 2600, 11,200 ± 5500 and 15,800 ± 7300, respectively (p < 0.05). We found that all three smoke extractors had more than 96% efficiency in clearing surgical smoke. With electric diathermy, skin tissue in the cutting model and adipose tissue in the coagulation mode will produce higher concentration of particles within surgical plumes. An electric surgical scalpel adapted with a urethral catheter is a simple and effective way to exhaust smoke in surgical operations.https://doi.org/10.1038/s41598-021-92859-9 |
| spellingShingle | Ping-Chia Cheng Ming-Hsun Wen Wan-Lun Hsu Po-Wen Cheng Li-Jen Liao A study to quantify surgical plume and survey the efficiency of different local exhaust ventilations Scientific Reports |
| title | A study to quantify surgical plume and survey the efficiency of different local exhaust ventilations |
| title_full | A study to quantify surgical plume and survey the efficiency of different local exhaust ventilations |
| title_fullStr | A study to quantify surgical plume and survey the efficiency of different local exhaust ventilations |
| title_full_unstemmed | A study to quantify surgical plume and survey the efficiency of different local exhaust ventilations |
| title_short | A study to quantify surgical plume and survey the efficiency of different local exhaust ventilations |
| title_sort | study to quantify surgical plume and survey the efficiency of different local exhaust ventilations |
| url | https://doi.org/10.1038/s41598-021-92859-9 |
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