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1.SURGICAL SMOKE

1.SURGICAL SMOKE. What is in it? What are the potential hazards? What measures are there to prevent exposure? Supporting papers. 2.Where does it come from?. Pyrolysis from; Lasers Diathermy (Cut and coag ) Harmonic scalpels. Exceptions to the rule. RF generated cautery

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1.SURGICAL SMOKE

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  1. 1.SURGICAL SMOKE • What is in it? • What are the potential hazards? • What measures are there to prevent exposure? • Supporting papers.

  2. 2.Where does it come from? • Pyrolysis from; • Lasers • Diathermy (Cut and coag) • Harmonic scalpels

  3. Exceptions to the rule • RF generated cautery • RF generated cutting

  4. 3.What does it contain? • Acrolein, CO, Creosols, Formaldehyde, • Hydrogen Cyanide, Phenol. • Benzene, Methane, Propene, Styrene, • Toluene - amongst 70 others • Intact viral DNA!!! • Intact Cancer cells!!!

  5. 4. Particle size • Bone wetted with blood. • Coag mode >20% less than 0.1 Micron • Cut mode >40% less than 0.1 micron

  6. 5.Is there a danger to theatre staff. • NIOSH study 1989 (report No 85-126-1932) showed that contaminates were in the breathing zone of staff. • HIV is known to be able to infect alveolar macrophages by bonding with their CD4 receptor sites. • Some surgeons have claimed they have contracted HPV from Lazer smoke plume in treating Vaginal warts.

  7. 6.Is there a danger to theatre staff • The mere presence of the chemicals listed in slide 3 is a great cause for concern (NIOSH statement).

  8. 7.Is there a danger to patients • In a study of female patients undergoing laparoscopic surgery using a smoke generating device, • 100% had an abnormal and significant elevation of methemoglobin levels in their blood.

  9. 8.Prevention Smoke extractors Masks and goggles Hood and helmet systems Plumeaway

  10. 9.Supporting papers • Supporting papers can be requested through Q Technologies Education, or contact your local sales person.

  11. Web sites • www.infectioncontroltoday.com • www.aorn.org • www.cdc.gov • www.osha.gov.html • akmedical@live.co.uk

  12. 10.Questions

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