Signs and symptoms related to surgical smoke exposure: integrative review
DOI:
https://doi.org/10.5327/Z1414-4425202100030009Keywords:
Sinais e Sintomas, Fumaça, Eletrocirurgia, Eletrocoagulação, Saúde do trabalhadorAbstract
Objective: To analyze the scientific evidence available in the literature on signs and symptoms related to surgical smoke exposure among surgical block
workers. Method: This integrative literature review searched the following databases: MEDLINE, Cumulative Index to Nursing and Allied Health Literature,
Latin American and Caribbean Health Sciences Literature, Web of Science, and Scopus. Results: A total of 1,351 studies were pre-selected, 4 of which were
found by manual search. In the end, five articles were analyzed. The signs and symptoms identified were: cough, burning sensation in the pharynx, sneezing,
rhinitis, nasopharyngeal lesion, foreign body sensation in the throat, nasal congestion, airway inflammation, lacrimation, nausea, vomiting, abdominal pain,
weakness, muscle cramp, headache, drowsiness, lightheadedness, irritability, discomfort (such as unpleasant smell in clothes). Conclusion: Great advances have
been detected in the studies proposed. These investigations lay the foundation for the intensity of signs and symptoms and the orientation regarding harmful
risks, providing managers with the knowledge and scientific basis for future interventions, both to protect the team and to prevent risks in the work environment.
References
Navarro-Meza M, González-Baltazar R, Alabama-Rodríguez MG, Carmona-Navarro DE, López- Cardona MG. Síntomas respiratórios usados pelo uso do eletrocauterio em médicos na formação cirúrgica de um hospital do México. Rev. Peru. Med. Exp. Salud Publica. [Internet]. 2013[cited 2019 june 10]; 30 (1): 41-44. Available from: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1726-46342013000100008&lng=es
Kalil J, Pessine FBT, Fidelis CHV, Menezes FH, Palma PCR. Analysis, cromatografia / espectrometria de massas, fumaça gerada por eletrocautério. Rev Col Bras Cir. [Internet]. 2016 [cited 2019 june 10]; 43 (2): 124-128. Available from: https://doi.org/10.1590/0100-69912016002009
Bree K, Barnhill S, Rundell W. The Dangers of Electrosurgical Smoke to Operating Room Personnel: A Review. Workplace Health Saf. [Internet]. 2017 [cited 2019 june 10]; 65(11): 517–526, 2017. Available from: https://doi.org/10.1177/2165079917691063
Souza Porto MF. Análise de riscos nos locais de trabalho: conhecer para transformar. São Paulo: Instituto Nacional de Saúde no Trabalho; 2000.
Polit, DF, Beck, C.T. Essentials of Nursing Research: Methods, Appraisal, and Utilization. (6 ed.). Philadelphia ,USA: Lippincott Williams & Wilkins; 2005.
Joanna Briggs Institute. Joanna Briggs Institute reviewers manual: 2011 edition. Adelaide, Australia: Author; 2011.
Ilce A, Yuzden GE, Yavuz van Giersbergen M. The examination of problems experienced by nurses and doctors associated with exposure to surgical smoke and the necessary precautions. J Clin Nurs. [Internet]. 2017 [cited 2019 june 10]; 26 (11-12):1555-1561. Available from: https://doi:10.1111/jocn.13455
Ünver S, Topçu SY, Fındık ÜY. Surgical Smoke, Me and My Circle. International Journal of Caring Sciences. [Internet]. 2016 [cited 2019 june 10]; 9(2): 697-703. Available from: https://www.academia.edu/30097167/Surgical_Smoke_Me_and_My_Circle_Cerrahi_Duman_Ben_ve_%C3%87evremdekiler
Usta E, Aygin D, Bozdemir H, Uçar N. Ameliyathanelerde Cerrahi Dumanın Etkileri ve Korunmaya Yönelik Alınan Önlemler The Effects of Surgical Smoke in Operating Rooms and Precautions for Protection . HSP. [Internet]. 2019 [cited 2019 june 10]; 6(1): 17-24. Available from: https://doi10.17681/hsp.403579
Galvão TF, Pansani TSA, Harrad D. Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Epidemiol. Serv. Saúde. [Internet]. 2015 [cited 2019 june 10]; 24 (2): 335-342. Available fro: https://doi.org/10.5123/S1679-49742015000200017
Alp E, Bijl D, Bleichrodt RP, Hansson B, Voss A. Surgical smoke and infection control. J Hosp Infect. [Internet]. 2006 [cited 2019 june 10]; 62(1): 1–5. Available from: https://doi.org/10.1016/j.jhin.2005.01.014
Ball K. Surgical smoke evacuation guidelines: Compliance among perioperative nurses. AORN J. [Internet]. 2010 [cited 2019 june 10]; 92(2): 1-23. Available from: https://doi.org/10.1016/j.aorn.2009.10.026
Shah N.R. Commentary On: “Surgical Smoke – A Health Hazard in the Operating Theatre: A Study to Quantify Exposure and a Survey of the Use of Smoke Extractor Systems in UK Plastic Surgery Units”. Ann Med Surg. [Internet]. 2012 [cited 2019 june 10];1(1): 23-24. Available from: https://doi.org/10.1016/S2049-0801(12)70008-0
Carvalho CRR, Junior CT, Franca, AS. Ventilação mecânica: princípios, análise gráfica e práticas ventilatórias. J Bras Pneumol. [Internet]. 2007 [cited 2019 june 10]; 33 (2): 54-70. Available from: http://dx.doi.org/10.1590/S1806-37132007000800002
Gomes, MJM. Ambiente e pulmão. J Bras Pneumol. [Internet]. 2002 [cited 2019 june 10]; 28 (5): 261-269. Available from: https://doi.org/10.1590/S0102-35862002000500004
Mowbray N, Ansell J, Warren N, Wall P, Torkington J. Is Surgical Smoke Harmful to Theater Staff? A Systematic Review. Surg Endosc. [Internet]. 2013 [cited 2019 june 10]; 27 (9): 3100-3107. Available from: https://doi.org/10.1007/s00464-013-2940-5
Oberdörster G, Oberdörster E, Oberdörster J. Nanotoxicology: An emerging discipline evolving from studies of ultrafine particles. Environ Health Perspect. [Internet]. 2005 [cited 2019 june 10]; 113 (7): 823-839. Available fro: https://ehp.niehs.nih.gov/doi/10.1289/ehp.7339
Shi B. Removal of Ultrafine Particles by Intermediate Air Filters in Ventilations Systems, Evaluation of Performance and Analysis of Applications. Ph.D. Dissertation, Chalmers University of Technology, Gothenburg, Sweden. [Internet]. 2012 [cited 2019 june 10]. Available from: http://publications.lib.chalmers.se/records/fulltext/165538/165538.pdf
Ulmer BC. The hazards of surgical smoke. AORN J. [Internet]. 2008 [cited 2019 june 10]; 87 (4): 721-734. Available from: https://doi.org/10.1016/j.aorn.2007.10.012
Barrett W L, Garber SM. Surgical smoke - A review of the literature. Is this just a lot of hot air? Surg Endosc. [Internet]. 2003 [cited 2019 june 10]; 17 (6): 979-987. Available from: https://link.springer.com/article/10.1007%2Fs00464-002-8584-5
Al Sahaf OS, Vega-Carrascal I, Cunningham FO. Chemical composition of smoke produced by high-frequency electrosurgery. Ir J Med Sci. [Internet]. 2007 [cited 2019 june 10]; 176(3): 229-232. Available from: https://link.springer.com/article/10.1007%2Fs11845-007-0068-0
Hallmo P, Naess O. Laryngeal papillomatosis with papillomavirus DNA contracted by a laser surgeon. Eur Arch Otorhinolaryngol. [Internet]. 1991 [cited 2019 june 10]; 248: 425-427. Available from: https://link.springer.com/article/10.1007/BF01463570
Fencl JL. Guideline Implementation: Surgical Smoke Safety. AORN J. [Internet] 2017 [cited 2019 june 10]; 105(5):488‐497. Available from: https://aornjournal.onlinelibrary.wiley.com/doi/abs/10.1016/j.aorn.2017.03.006
Okgün Alcan A, Yavuz van Giersbergen M, Tanil V, Dinçarslan G, Hepçivici Z, Kurcan Ç, Arikan E, Dere T. Bir üniversite hastanesinde cerrahi duman riskleri ve koruyucu önlemlerin incelenmesi. E. Ü. Hemşirelik Fakültesi Dergisi. [Internet]. 2017 [cited 2019 june 10]; 33(2): 27-35. Available from: https://dergipark.org.tr/tr/pub/egehemsire/issue/32885/327169
Choi SH, Kwon TG, Chung SK, Kim TH. Surgical smoke may be a biohazard to surgeons performing laparoscopic surgery. Surg Endosc. [Internet]. 2014 [cited 2019 june 10]; 28(8): 2374‐2380. Available from: https://link.springer.com/article/10.1007%2Fs00464-014-3472-3
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION (OSHA). Safety and Health Topics. Laser/Electrosurgery Plume. Washington: Occupational Safety & Health Administration. [Internet]. 2015 [cited 2018 setember 18]. Available from: https://www.osha.gov/SLTC/laserelectrosurgeryplume/
Romano F, Gustén J, De Antonellis S, Joppolo CM. Electrosurgical Smoke: Ultrafine Particle Measurements and Work Environment Quality in Different Operating Theatres. Int J Environ Res Public Health. Internet]. 2017 [cited 2019 june 10]; 14(2): 137. Avalable From: https://pubmed.ncbi.nlm.nih.gov/28146089/
Benson SM, Novak DA, Ogg MJ. Proper use of surgical N95 respirators and surgical masks in the OR. AORN Journal. 2013; 97(4):457-67. Avalable From: https://doi.org/10.1016/j.aorn.2013.01.015
He X , Reponen T , McKay RT, Grinshpun AS. Effect of Particle Size on the Performance of an N95 Filtering Facepiece Respirator and a Surgical Mask at Various Breathing Conditions. Aerosol Sci Technol. 2013; 47(11): 1180-87. Avalable From: https://doi.org/10.1080/02786826.2013.829209
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