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Inicio Cirugía Española (English Edition) Surgical smoke: risks and preventive measures
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Vol. 85. Núm. 5.
Páginas 274-279 (mayo 2009)
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Vol. 85. Núm. 5.
Páginas 274-279 (mayo 2009)
Special article
Acceso a texto completo
Surgical smoke: risks and preventive measures
El humo quirúrgico: riesgos y medidas preventivas
Visitas
2076
Hilario Carbajo-Rodrígueza,
Autor para correspondencia
hilariocarbajo@hotmail.com

Author for correspondence.
, José Luis Aguayo-Albasinib, Víctor Soria-Aledob, Concepción García-Lópeza
a Servicio de Prevención de Riesgos Laborales, Hospital General Universitario Morales Meseguer, Murcia, Spain
b Servicio de Cirugía General, Hospital General Universitario Morales Meseguer, Murcia, Spain
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Abstract

The application of the advanced technologies in medicine has led to the appearance of new risk factors for health personnel. One of these could be the surgical smoke produced by electrosurgical instruments, ultrasounds, or laser. However, there is still insufficient evidence in the published population studies on the detrimental effects of chronic exposure to surgical smoke. The main concern on the possible damage to the health of operating room staff is mainly based on the components currently detected until the date and laboratory experiments. Caution must also be used when extrapolating the results of in vitro studies to daily clinical practice.

The organisations responsible for protecting the health of the workers in different countries have still not issued guidelines for the treatment and removal of the surgical smoke generated in both open and laparoscopic procedures. In this article we try to present a view of the consequences that surgical smoke has on health and the preventive measures that can be adopted.

Keywords:
Operating room
Surgical smoke
Adverse events
Occupational healtht
Resumen

La aplicacion de las tecnologias avanzadas a la medicina ha supuesto el incremento de algunos factores de riesgo en el personal sanitario. Uno de ellos podria ser el humo quirurgico producido por instrumentos electroquirurgicos, ultrasonidos o laser. La voz de alarma acerca de un posible perjuicio para la salud de los trabajadores de quirofano se basa fundamentalmente en los componentes detectados hasta la fecha y los experimentos realizados en el laboratorio. No obstante, hay que tener precaucion al extrapolar los resultados de los estudios in vitro a la practica clinica diaria y, hasta la fecha, no hay evidencias suficientes del efecto perjudicial de la exposicion cronica a este en los estudios poblacionales publicados.

Los organismos responsables de velar por la salud de los trabajadores en distintos paises no han emitido todavia normas para el tratamiento y la evacuacion del humo quirurgico generado en intervenciones tanto por laparotomia como por laparoscopia. En este articulo pretendemos ofrecer una vision de las consecuencias que el humo quirurgico tiene para la salud y las medidas preventivas que se pueden adoptar.

Palabras clave:
Quirofano
Humo quirurgico
Efectos nocivos
Salud laboral
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Copyright © 2009. Asociación Española de Cirujanos
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