Composition of the electrocautery smoke: integrative literature review

Author:

Tramontini Cibele Cristina1,Galvão Cristina Maria2,Claudio Caroline Vieira3,Ribeiro Renata Perfeito3,Martins Júlia Trevisan3

Affiliation:

1. Universidade de São Paulo, Brazil; Universidade Estadual de Londrina, Brazil

2. Universidade de São Paulo, Brazil

3. Universidade Estadual de Londrina, Brazil

Abstract

Abstract OBJECTIVE To identify the composition of the smoke produced by electrocautery use during surgery. METHOD Integrative review with search for primary studies conducted in the databases of the US National Library of Medicine National Institutes of Health, Cumulative Index to Nursing and Allied Health Literature, and Latin American and Caribbean Health Sciences, covering the studies published between 2004 and 2014. RESULTS The final sample consisted of 14 studies grouped into three categories, namely; polycyclic aromatic hydrocarbons, volatile compounds and volatile organic compounds. CONCLUSION There is scientific evidence that electrocautery smoke has volatile toxic, carcinogenic and mutagenic compounds, and its inhalation constitutes a potential chemical risk to the health of workers involved in surgeries.

Publisher

FapUNIFESP (SciELO)

Subject

General Nursing

Reference46 articles.

1. Síntomas respiratorios causados por el uso del electrocauterio en médicos en formación quirúrgica de un hospital de México;Navarro-Meza MC;Rev Peru Med Exp Salud Pública,2013

2. International Social Security. International Section of the ISSA on Prevention of Occupational Risks in Health Services. Surgical smoke: risks and preventive measures.;Eickmann IU,2012

3. Cancer risk of incremental exposure to polycyclic aromatic hydrocarbons in electrocautery smoke for mastectomy personnel;Tseng HS;World J Surg Oncol,2014

4. Surgical smoke may be a biohazard to surgeons performing laparoscopic surgery;Choi SH;Surg Endosc.,2014

5. Quantitative chemical analysis of surgical smoke generated during laparoscopic surgery with a vessel-sealing device;Gianella M;Surg Innov.,2014

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