Clearing the air on surgical plume
David A Watters1,2,3, Paula Foran1,4,5, Sharryn McKinley1,6
1Victorian Perioperative Consultative Council, Victoria, Australia.
ANZ Journal of Surgery
|November 1, 2021
Summary
Surgical smoke contains toxic chemicals and potentially infectious agents. Implementing effective plume extraction devices is crucial for protecting healthcare workers from occupational health risks.
Area of Science:
- Surgical Technology
- Occupational Health
Background:
- Surgical smoke (plume) is generated by electrocautery devices.
- Policies are emerging to mitigate occupational health risks from surgical plume.
Purpose of the Study:
- To review potential risks of surgical plume, including those related to COVID-19.
- To discuss mitigation strategies for surgical plume exposure.
Main Methods:
- Narrative review of existing literature.
- Analysis of risks and mitigation options for surgical smoke.
Main Results:
- Surgical plume contains carcinogens and potentially infectious viruses (e.g., HPV, HBV).
- While COVID-19 RNA fragments are found in tissues, transmission via plume is not reported.
- Effective plume extraction is vital, especially during laparoscopic procedures, balancing efficacy with operational factors.
Conclusions:
- The occupational health risks of surgical plume are significant and require attention.
- Investment in plume extraction technology is necessary to safeguard healthcare staff.
- Future operating room designs should prioritize minimizing plume exposure.
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