An Analysis of Surgical Smoke Plume Components, Capture, and Evacuation

• Published in: AORN journal 2014-02, Vol.99 (2), p.289-298
• Main Author: Schultz, Leonard
• Format: Article
• Language: English
• Subjects: Air Pollutants, Occupational - isolation & purification; Air Pollution, Indoor; Anesthesia & Perioperative Care; Equipment Design; Humans; Medical technology; Nursing; Occupational Exposure; Occupational safety; Operating Rooms; Patient safety; Perianesthesia; plume; Safety Management; Smoke - adverse effects; smoke evacuation; Surgery; surgical plume capture; surgical smoke
• ISSN: 0001-2092; 1878-0369
• DOI: 10.1016/j.aorn.2013.07.020

Chronic exposure to surgical smoke can transmit viruses; lead to respiratory illness; and increase the risk of more serious conditions, including Alzheimer disease, collagen and cardiac diseases, and cancer. Despite this, surgical smoke plume capture and evacuation devices are often used sporadically or not at all, and do not necessarily reduce costs per procedure. In addition, the current choices for smoke plume capture are varied, and health care providers may make decisions about what type of method to use based on marketing materials rather than facts, leaving most clinicians and managers frustrated and cynical about supporting the effort to capture surgical smoke plume. This article presents current data and information that purchasing teams can use to help choose the best available technology for their practice patterns. It also provides analysis to help those responsible for choosing smoke evacuation systems make rational decisions in their quest to provide a clean, safe environment in the OR.