Secondhand smoke in the operating room? Precautionary practices lacking for surgical smoke

Details

• Personal Author:
  Boiano, James M. ; Steege, Andrea L. ; Sweeney, Marie H.
• Description:
  Background: Consensus organizations, government bodies, and healthcare organization guidelines recommend that surgical smoke be evacuated at the source by local exhaust ventilation (LEV) (i.e., smoke evacuators or wall suctions with inline filters). Methods: Data are from NIOSH's Health and Safety Practices Survey of Healthcare Workers module on precautionary practices for surgical smoke. Results: Four thousand five hundred thirty-three survey respondents reported exposure to surgical smoke: 4,500 during electrosurgery; 1,392 during laser surgery procedures. Respondents were mainly nurses (56%) and anesthesiologists (21%). Only 14% of those exposed during electrosurgery reported LEV was always used during these procedures, while 47% reported use during laser surgery. Those reporting LEV was always used were also more likely to report training and employer standard procedures addressing the hazards of surgical smoke. Few respondents reported use of respiratory protection. Conclusions: Study findings can be used to raise awareness of the marginal use of exposure controls and impediments for their use. [Description provided by NIOSH]
• Subjects:
  Anesthesia Engineering Epidemiology Health Care Facilities Workforce And Services Health Personnel Occupational Exposure Occupational Health Safety Surveys And Questionnaires Ventilation
• Keywords:
  Anesthesiology Author Keywords: Surgical Smoke Control Systems Electrosurgery Employee Exposure Engineering Controls Environmental Control Equipment Exhaust Systems Exhaust Ventilation Health-care Health-care-personnel Health Care Facilities Healthcare Workers Health Surveys Lasers Laser Surgery LEV Local Exhaust Ventilation Nurses Occupational Exposure Operating Rooms Smoke Control Smoke Evacuators Surgery Surveillance Ventilation Systems

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• ISSN:
  0271-3586
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Ohio ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  59
• Issue:
  11
• NIOSHTIC Number:
  nn:20048193
• Citation:
  Am J Ind Med 2016 Nov; 59(11):1020-1031
• Contact Point Address:
  Andrea L. Steege, PhD, MPH, CDC, National Institute for Occupational Safety and Health, Division of Surveillance, Hazard Evaluations and Field Studies, 1090 Tusculum Ave, MS R18, Cincinnati, OH 45226-1998
• Email:
  asteege@cdc.gov
• Federal Fiscal Year:
  2017
• Peer Reviewed:
  True
• Source Full Name:
  American Journal of Industrial Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:25e8415a5928ccd3ee50d8cbfd38248eee9334e59097a01408350f4d213b302928f38374f5a8948a3fa24e9660c8590f186e7375cd9223655d97f4c973db43c0
• Download URL:
  https://stacks.cdc.gov/view/cdc/203012/cdc_203012_DS1.pdf
• File Type:
  [PDF - 126.26 KB ]