Occupational risk: signs and symptoms related to exposure to surgical smoke

Authors

DOI:

https://doi.org/10.5327/Z1414-4425202227850

Abstract

Objective: To identify the prevalence and intensity of signs and symptoms related to occupational exposure to surgical smoke in health workers and their protective measures. Method: Descriptive cross-sectional study, developed with healthcare workers exposed to surgical smoke. Collection was carried out in September 2021, in a tertiary service institution with oncological and philanthropic characteristics and in a highly complex university hospital. Results: The sample consisted of 155 participants; the prevalence of signs and symptoms was: respiratory system 55.45%, ocular system 43.22%, and nervous system 37.41%, with statistical significance for the intensity of signs and symptoms in the integumentary (p=0,05) and nervous (p=0,01) systems. Conclusions: The highest rate of prevalence of signs and symptoms was in the respiratory, ocular, nervous, and integumentary systems with statistical significance.

Author Biographies

Aryane Apolinario Bieniek, Universidade Estadual de Londrina – Londrina (PR), Brasil.

Enfermagem/ perioperatório

Helenize Ferreira Lima Leachi, Universidade Estadual de Londrina – Londrina (PR), Brasil.

Enfermeira, Doutora, Departamento de Enfermagem/ Universidade Estadual de Londrina, Londrina, PR, Brasil

Brenda Caroline Lucio Cardoso, Universidade Estadual de Londrina – Londrina (PR), Brasil.

Enfermeira, Universidade Estadual de Londrina, Londrina, PR, Brasil.

Miriã Domorato de Campos, Universidade Estadual de Londrina – Londrina (PR), Brasil.

Enfermeira, Universidade Estadual de Londrina, Londrina, PR, Brasil.

Aline Franco da Rocha, Universidade Estadual de Londrina – Londrina (PR), Brasil.

Enfermeira, Phd, Departamento de Enfermagem/Universidade Estadual de Londrina, Londrina, PR, Brasil.

Renata Perfeito Ribeiro, Universidade Estadual de Londrina – Londrina (PR), Brasil.

Enfermeira, Phd, Departamento de Enfermagem/Universidade Estadual de Londrina, Londrina, PR, Brasil.

References

Martins FZ, Dall’Agnol CM. Centro cirúrgico: desafios e estratégias do enfermeiro nas atividades gerenciais. Rev Gaúcha Enferm. 2016;37(4):e56945. https://doi.org/10.1590/1983-1447.2016.04.56945 DOI: https://doi.org/10.1590/1983-1447.2016.04.56945

Silva LS, Valente GSC. Riscos químicos hospitalares e gerenciamento dos agravos à saúde do trabalhador de enfermagem. Rev Pesqui. 2012;21-4. https://doi.org/10.9789/2175-5361.2012.v0i0.21-24

Faria VNR. Avaliação da incerteza de medição no setor médico-hospitalar [dissertação]. Uberlândia: Universidade Federal de Uberlândia, Faculdade de Engenharia Mecânica; 2016. http://doi.org/10.14393/ufu.di.2016.450 DOI: https://doi.org/10.14393/ufu.di.2016.450

In SM, Park DY, Sohn IK, Kim CH, Lim HL, Hong SA, et al. Experimental study of the potential hazards of surgical smoke from powered instruments. Br J Surg. 2015;102(12):1581-6. https://doi.org/10.1002/bjs.9910 DOI: https://doi.org/10.1002/bjs.9910

Alp E, Bijl D, Bleichrodt RP, Hansson B, Voss A. Surgical smoke and infection control. J Hosp Infect. 2006;62(1):1-5. https://doi.org/10.1016/j.jhin.2005.01.014 DOI: https://doi.org/10.1016/j.jhin.2005.01.014

Okoshi K, Kobayashi K, Kinoshita K, Tomizawa Y, Hasegawa S, Sakai Y. Health risks associated with exposure to surgical smoke for surgeons and operation room personnel. Surg Today. 2015;45(8):957-65. https://doi.org/10.1007/s00595-014-1085-z DOI: https://doi.org/10.1007/s00595-014-1085-z

Kalil J, Pessine FBT, Fidelis CHV, Menezes FH, Palma PCR. Análise, mediante cromatografia/espectrometria de massas, fumaça gerada por eletrocautério. Rev Col Bras Cir. 2016;43(2):124-8. https://doi.org/10.1590/0100-69912016002009 DOI: https://doi.org/10.1590/0100-69912016002009

Wu YC, Tang CS, Huang HY, Liu CH, Chen YL, Chen DR, et al. Chemical production in electrocautery smoke by a novel predictive model. Eur Surg Res. 2011;46(2):102-7. https://doi.org/10.1159/000322855 DOI: https://doi.org/10.1159/000322855

Bieniek AA, Aroni P, Costa RG, Ribeiro RP. Sinais e sintomas relacionados à exposição à fumaça cirúrgica: revisão integrativa. Rev SOBECC. 2021;26(3):189-96. https://doi.org/10.5327/Z1414-4425202100030009 DOI: https://doi.org/10.5327/Z1414-4425202100030009

Fencl JL. Guideline implementation: surgical smoke safety. AORN J. 2017;105(5):488-97. https://doi.org/10.1016/j.aorn.2017.03.006 DOI: https://doi.org/10.1016/j.aorn.2017.03.006

Bieniek AA, Leachi HFL, Ribeiro RP. Construção e validação da escala de intensidade dos sinais e sintomas relacionados à fumaça cirúrgica. Braz J Dev. 2022;8(5):41375-88. https://doi.org/10.34117/bjdv8n5-567 DOI: https://doi.org/10.34117/bjdv8n5-567

Usta E, Aygin D, Bozdemir H, Uçar N. The effects of surgical smoke in operating rooms and precautions for protection. Arch Health Sci Res. 2019;6(1):17-24. https://doi.org/10.17681/hsp.403579 DOI: https://doi.org/10.17681/hsp.403579

Navarro-Meza MC, González-Baltazar R, Aldrete-Rodríguez MG, Carmona-Navarro DE, López-Cardona MG. Síntomas respiratorios causados por el uso del electrocauterio en médicos en formación quirúrgica de un hospital de México. Rev Perú Med Exp Salud Publica. 2013;30(1):41-4. DOI: https://doi.org/10.1590/S1726-46342013000100008

Liu Y, Zhao M, Shao Y, Yan L, Zhu X. Chemical composition of surgical smoke produced during the loop electrosurgical excision procedure when treating cervical intraepithelial neoplasia. World J Surg Oncol. 2021;19(1):103. https://doi.org/10.1186/s12957-021-02211-8 DOI: https://doi.org/10.1186/s12957-021-02211-8

Satish U, Mendell MJ, Shekhar K, Hotchi T, Sullivan D, Streufert S, et al. Is CO2 an indoor pollutant? Direct effects of low-to-moderate CO2 concentrations on human decision-making performance. Environ Health Perspect. 2012;120(12):1671-7. https://doi.org/10.1289/ehp.1104789 DOI: https://doi.org/10.1289/ehp.1104789

Baan R, Grosse Y, Straif K, Secretan B, El Ghissassi F, Bouvard V, et al. A review of human carcinogens--Part F: chemical agents and related occupations. Lancet Oncol. 2009;10(12):1143-4. https://doi.org/10.1016/S1470-2045(09)70358-4 DOI: https://doi.org/10.1016/S1470-2045(09)70358-4

Mundt KA, Gentry PR, Dell LD, Rodricks JV, Boffetta P. Six years after the NRC review of EPA’s draft IRIS toxicological review of formaldehyde: regulatory implications of new science in evaluating formaldehyde leukemogenicity. Regul Toxicol Pharmacol. 2018;92:472-90. https://doi.org/10.1016/j.yrtph.2017.11.006 DOI: https://doi.org/10.1016/j.yrtph.2017.11.006

Shi B. Removal of ultrafine particles by intermediate air filters in ventilations systems. Evaluation of performance and analysis of applications [Internet]. Gothenburg: Chalmers University of Technology; 2012 [acessado em 10 jun. 2022]. Disponível em: https://publications.lib.chalmers.se/records/fulltext/165538/165538.pdf

Sisler JD, Shaffer J, Soo JC, LeBouf RF, Harper M, Qian Y, Lee T. In vitro toxicological evaluation of surgical smoke from human tissue. J Occup Med Toxicol. 2018;13:12. https://doi.org/10.1186/s12995-018-0193-x DOI: https://doi.org/10.1186/s12995-018-0193-x

Karjalainen M, Kontunen A, Saari S, Rönkkö T, Lekkala J, Roine A, et al. The characterization of surgical smoke from various tissues and its implications for occupational safety. PLoS One. 2018;13(4):e0195274. https://doi.org/10.1371/journal.pone.0195274 DOI: https://doi.org/10.1371/journal.pone.0195274

Chung YJ, Lee SK, Han SH, Zhao C, Kim MK, Park SC, et al. Harmful gases including carcinogens produced during transurethral resection of the prostate and vaporization. Int J Urol. 2010;17(11):944-9. https://doi.org/0.1111/j.1442-2042.2010.02636.x DOI: https://doi.org/10.1111/j.1442-2042.2010.02636.x

Wambier CG, Lee KC, Oliveira PB, Wambier SPF, Beltrame FL. Comment on “Surgical smoke: risk assessment and mitigation strategies” and chemical adsorption by activated carbon N95 masks. J Am Acad Dermatol. 2019;80(4):e79-e80. https://doi.org/10.1016/j.jaad.2018.10.067 DOI: https://doi.org/10.1016/j.jaad.2018.10.067

Georgesen C, Lipner SR. Surgical smoke: risk assessment and mitigation strategies. J Am Acad Dermatol. 2018;79(4):746-55. https DOI: https://doi.org/10.1016/j.jaad.2018.06.003

Published

2023-02-08

How to Cite

Bieniek, A. A., Leachi, H. F. L., Cardoso, B. C. L. ., Campos, M. D. de ., Rocha, A. F. da ., & Perfeito Ribeiro, R. . (2023). Occupational risk: signs and symptoms related to exposure to surgical smoke. Revista SOBECC, 27. https://doi.org/10.5327/Z1414-4425202227850

Issue

Section

ORIGINAL ARTICLES