January 16, 2024- As the byproduct of life saving lasers, electrosurgical processes, radiofrequency devices, hyfrecators, ultrasonic scalpels and other power tools, wisps of surgical smoke hanging in the air represent hope and healing for patients. However, for OR staff, surgical smoke is an aerosol of bacteria, viruses, carcinogenic and mutagenic cells, ocular irritations, and respiratory hazards.
Damaging effects of surgical smoke include toxic byproducts if inhaled by the operating physicians. In addition to the vaporized blood, tissue, and live or dead cellular material, plumes of surgical smoke contain biochemical hazards and contaminants on par with second-hand smoke. Like constantly being subjected to second-hand smoke, repeated exposure to surgical smoke can cause health issues for surgeons, surgical staff, and even the patient.
The National Institute for Occupational Safety and Health (NIOSH) recommends using smoke evacuation devices in addition to ventilation and masks. Smoke evacuators filter and collect smoke at the surgical site, preventing it from reaching the airspace around the OR staff.
While protecting surgical teams constantly exposed to surgical smoke from the lengthy list of damaging effects is the primary benefit of surgical smoke evacuation, there are several other advantages associated with the evacuation devices including patient safety, improved visibility, contamination control, improved air quality in the OR, and compliance with laws and regulations.