PMID- 29283318
OWN - NLM
STAT- MEDLINE
DCOM- 20190909
LR  - 20231011
IS  - 1545-9632 (Electronic)
IS  - 1545-9624 (Print)
IS  - 1545-9624 (Linking)
VI  - 15
IP  - 4
DP  - 2018 Apr
TI  - Surgical smoke control with local exhaust ventilation: Experimental study.
PG  - 341-350
LID - 10.1080/15459624.2017.1422082 [doi]
AB  - This experimental study aimed to evaluate airborne particulates and volatile 
      organic compounds (VOCs) from surgical smoke when a local exhaust ventilation 
      (LEV) system is in place. Surgical smoke was generated from human tissue in an 
      unoccupied operating room using an electrocautery surgical device for 15 min with 
      3 different test settings: (1) without LEV control; (2) control with a wall 
      irrigation suction unit with an in-line ultra-low penetration air filter; and (3) 
      control with a smoke evacuation system. Flow rate of LEVs was approximately 
      35 L/min and suction was maintained within 5 cm of electrocautery interaction 
      site. A total of 6 experiments were conducted. Particle number and mass 
      concentrations were measured using direct reading instruments including a 
      condensation particle counter (CPC), a light-scattering laser photometer 
      (DustTrak DRX), a scanning mobility particle sizer (SMPS), an aerodynamic 
      particle sizer (APS), and a viable particle counter. Selected VOCs were collected 
      using evacuated canisters using grab, personal and area sampling techniques. The 
      largest average particle and VOCs concentrations were found in the absence of LEV 
      control followed by LEV controls. Average ratios of LEV controls to without LEV 
      control ranged 0.24-0.33 (CPC), 0.28-0.39 (SMPS), 0.14-0.31 (DustTrak DRX), and 
      0.26-0.55 (APS). Ethanol and isopropyl alcohol were dominant in the canister 
      samples. Acetaldehyde, acetone, acetonitrile, benzene, hexane, styrene, and 
      toluene were detected but at lower concentrations (<500 mug/m(3)) and 
      concentrations of the VOCs were much less than the National Institute for 
      Occupational Safety and Health recommended exposure limit values. Utilization of 
      the LEVs for surgical smoke control can significantly reduce but not completely 
      eliminate airborne particles and VOCs.
FAU - Lee, Taekhee
AU  - Lee T
AD  - a Exposure Assessment Branch, Health Effects Laboratory Division, National 
      Institute for Occupational Safety and Health , Centers for Disease Control and 
      Prevention , Morgantown , West Virginia.
FAU - Soo, Jhy-Charm
AU  - Soo JC
AD  - a Exposure Assessment Branch, Health Effects Laboratory Division, National 
      Institute for Occupational Safety and Health , Centers for Disease Control and 
      Prevention , Morgantown , West Virginia.
FAU - LeBouf, Ryan F
AU  - LeBouf RF
AD  - b Field Study Branch Respiratory Health Division, National Institute for 
      Occupational Safety and Health , Centers for Disease Control and Prevention , 
      Morgantown , West Virginia.
FAU - Burns, Dru
AU  - Burns D
AD  - b Field Study Branch Respiratory Health Division, National Institute for 
      Occupational Safety and Health , Centers for Disease Control and Prevention , 
      Morgantown , West Virginia.
FAU - Schwegler-Berry, Diane
AU  - Schwegler-Berry D
AD  - c Pathology and Physiology Research Branch, Health Effects Laboratory Division, 
      National Institute for Occupational Safety and Health , Centers for Disease 
      Control and Prevention , Morgantown , West Virginia.
FAU - Kashon, Michael
AU  - Kashon M
AD  - d Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, 
      National Institute for Occupational Safety and Health , Centers for Disease 
      Control and Prevention , Morgantown , West Virginia.
FAU - Bowers, Jay
AU  - Bowers J
AD  - e West Virginia University Ruby Memorial Hospital , Morgantown , West Virginia.
FAU - Harper, Martin
AU  - Harper M
AD  - a Exposure Assessment Branch, Health Effects Laboratory Division, National 
      Institute for Occupational Safety and Health , Centers for Disease Control and 
      Prevention , Morgantown , West Virginia.
LA  - eng
GR  - CC999999/Intramural CDC HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - England
TA  - J Occup Environ Hyg
JT  - Journal of occupational and environmental hygiene
JID - 101189458
RN  - 0 (Air Pollutants, Occupational)
RN  - 0 (Particulate Matter)
RN  - 0 (Smoke)
RN  - 0 (Volatile Organic Compounds)
SB  - IM
MH  - Air Pollutants, Occupational/analysis
MH  - *Electrocoagulation
MH  - Humans
MH  - Occupational Exposure/prevention & control
MH  - Particulate Matter/*analysis
MH  - Smoke/analysis/*prevention & control
MH  - Ventilation/*methods
MH  - Volatile Organic Compounds/*analysis
PMC - PMC6460469
MID - NIHMS1011412
OTO - NOTNLM
OT  - Electrocautery
OT  - healthcare workers
OT  - local exhaust ventilation
OT  - surgical smoke
EDAT- 2017/12/29 06:00
MHDA- 2019/09/10 06:00
PMCR- 2019/04/12
CRDT- 2017/12/29 06:00
PHST- 2017/12/29 06:00 [pubmed]
PHST- 2019/09/10 06:00 [medline]
PHST- 2017/12/29 06:00 [entrez]
PHST- 2019/04/12 00:00 [pmc-release]
AID - 10.1080/15459624.2017.1422082 [doi]
PST - ppublish
SO  - J Occup Environ Hyg. 2018 Apr;15(4):341-350. doi: 10.1080/15459624.2017.1422082.