Evidence map›Paper›PMID 34031774›Full record

ArticleActa neurochirurgica2021

Surgically generated aerosol and mitigation strategies: combined use of irrigation, respirators and suction massively reduces particulate matter aerosol.

Moritz W J Schramm, Asim J Sheikh, Rebecca Chave-Cox, James McQuaid, Rachel C W Whitty, Evgenia Ilyinskaya

Open access · hybridAbstract read
In one paragraph

Article in Acta neurochirurgica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Moritz W J SchrammDepartment of Neurosciences, The General Infirmary At Leeds, Great George Street, Leeds, LS1 3EX, UK. moritz.schramm@doctors.org.uk.ORCID 0000-0002-2259-0262
Asim J SheikhDepartment of Neurosciences, The General Infirmary At Leeds, Great George Street, Leeds, LS1 3EX, UK.
Rebecca Chave-CoxDepartment of Neurosciences, The General Infirmary At Leeds, Great George Street, Leeds, LS1 3EX, UK.
James McQuaidSchool of Earth and Environment, University of Leeds, Leeds, UK.
Rachel C W WhittySchool of Earth and Environment, University of Leeds, Leeds, UK.
Evgenia IlyinskayaSchool of Earth and Environment, University of Leeds, Leeds, UK.
Leeds General Infirmary · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAerosol is a health risk to theatre staff. This laboratory study quantifies the reduction in particulate matter aerosol concentrations produced by electrocautery and drilling when using mitigation strategies such as irrigation, respirator filtration and suction in a lab environment to prepare for future work under live OR conditions.

methodsWe combined one aerosol-generating procedure (monopolar cutting or coagulating diathermy or high-speed diamond- or steel-tipped drilling of cadaveric porcine tissue) with one or multiple mitigation strategies (instrument irrigation, plume suction and filtration using an FFP3 respirator filter) and using an optical particle counter to measure particulate matter aerosol size and concentrations.

resultsSignificant aerosol concentrations were observed during all aerosol-generating procedures with concentrations exceeding 3 × 10

conclusionAerosol concentrations are significantly reduced through the combined use of filtration, suction and irrigation. Further research is required to characterise aerosol concentrations in the live OR and to find acceptable exposure limits, and in their absence, to find methods to further reduce exposure to theatre staff.

Indexed as

Particulate MatterAerosolsAnimalsSuctionSwineVentilators, MechanicalAerosolsParticulate MatterAerosolFiltrationMitigationSurgical smoke

Identifiers

PMID34031774
PMCPMC8143442
OpenAlexW3164574468

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.