ArticleJournal of occupational and environmental hygiene2018
Surgical smoke control with local exhaust ventilation: Experimental study.
Article in Journal of occupational and environmental hygiene, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 69 citations in OpenAlex.
- Article
- Integrating safety culture, environment, and sensory perceptions in the operating room: a narrative review.Langenbeck's archives of surgery · 2025Review
- Clearing the Smoke: The Evidence behind Risk of Electrocautery Smoke and Mitigation Strategies.Plastic and reconstructive surgery. Global open · 2024Article
- The Impact of Electrocautery Smoke on Surgical Staff and the Efficacy of Normal Surgical Masks Versus N95 Masks.Cureus · 2024Review
- Surgical smoke and its components, effects, and mitigation: a contemporary review.Toxicological sciences : an official journal of the Society of Toxicology · 2024Review
- Surgical smoke: a matter of hygiene, toxicology, and occupational health.GMS hygiene and infection control · 2024Review
- Do we need to reduce surgical smoke?Annals of translational medicine · 2022Article
- Surgical smoke: modern mobile smoke evacuation systems improve occupational safety in the operating theatre.Interactive cardiovascular and thoracic surgery · 2022Article
- Occupational Hazards of Surgical Smoke and Achieving a Smoke Free Operating Room Environment: Asia-Pacific Consensus Statement on Practice Recommendations.Frontiers in public health · 2022Article
- A study to quantify surgical plume and survey the efficiency of different local exhaust ventilations.Scientific reports · 2021Article
- Highlighting the Concepts of Local Exhaust Ventilation in Negative-Pressure Rooms.Annals of emergency medicine · 2021Article
- Comparison of Surgical Smoke Generated During Electrosurgery with Aerosolized Particulates from Ultrasonic and High-Speed Cutting.Annals of biomedical engineering · 2021Article
- Surgical Team Exposure to Cautery Smoke and Its Mitigation during Tonsillectomy.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2020Article
- Surgical smoke and the anesthesia provider.Journal of anesthesia · 2020Review
- Effect of Electrocautery Settings on Particulate Concentrations in Surgical Plume during Tonsillectomy.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2020Article
- Surgical Smoke-Hazard Perceptions and Protective Measures in German Operating Rooms.International journal of environmental research and public health · 2020Article
- Prospective randomized study evaluating the usefulness of a surgical smoke evacuation system in operating rooms for breast surgery.Journal of occupational medicine and toxicology (London, England) · 2020Article
- Awareness of surgical smoke hazards and enhancement of surgical smoke prevention among the gynecologists.Journal of Cancer · 2019Review
- In vitro toxicological evaluation of surgical smoke from human tissue.Journal of occupational medicine and toxicology (London, England) · 2018Article
- Robotic-assisted Total Hysterectomy with Low Pneumoperitoneal Pressure (6 mmHg) and Use of Surgical Plume Evacuator System to Minimize Potential Airborne Particles According to the Joint Statement on Minimally Invasive Gynecologic Surgery during the COVID-19 Pandemic: A Case Report from Japan.Gynecology and minimally invasive therapyArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
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 μg/m
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.