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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Autores principales:	Ping-Chia Cheng, Ming-Hsun Wen, Wan-Lun Hsu, Po-Wen Cheng, Li-Jen Liao
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/54b39920273c4563afbe6c5d01896582
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spelling	oai:doaj.org-article:54b39920273c4563afbe6c5d018965822021-12-02T18:33:57ZA study to quantify surgical plume and survey the efficiency of different local exhaust ventilations10.1038/s41598-021-92859-92045-2322https://doaj.org/article/54b39920273c4563afbe6c5d018965822021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92859-9https://doaj.org/toc/2045-2322Abstract 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.Ping-Chia ChengMing-Hsun WenWan-Lun HsuPo-Wen ChengLi-Jen LiaoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q 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
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.
format	article
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
title	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_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_sort	study to quantify surgical plume and survey the efficiency of different local exhaust ventilations
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/54b39920273c4563afbe6c5d01896582
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A study to quantify surgical plume and survey the efficiency of different local exhaust ventilations

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