Evidence map›Paper›PMID 35692344›Full record

ArticleFrontiers in public health2022

Occupational Hazards of Surgical Smoke and Achieving a Smoke Free Operating Room Environment: Asia-Pacific Consensus Statement on Practice Recommendations.

Anil Ashok Heroor, Belal Bin Asaf, Suryanarayana S V Deo, Eric Hui-Lun Lau, Chi Wei Mok, Peter Joseph DiPasco, Pradeep Jain, Utpal Anand

Abstract readConsensus Statement
In one paragraph

Article in Frontiers in public health, 2022. 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
–field-weighted citation impact
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.

  1. Article
  2. Review
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

8 authors.

Anil Ashok HeroorFortis Hospitals, Mumbai, India.
Belal Bin AsafInstitute of Chest Surgery, Chest Onco Surgery and Lung Transplantation, Medanta-The Medicity, Gurugram, India.
Suryanarayana S V DeoDepartment of Surgical Oncology, All India Institute of Medical Sciences, New Delhi, India.
Eric Hui-Lun LauDepartment of Otorhinolaryngology, Head and Neck Surgery, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Chi Wei MokDivision of Breast Surgery, Department of Surgery, Changi General Hospital, Singapore, Singapore.
Peter Joseph DiPascoMercy Hospital, Mercy Clinic Surgical Specialists, St. Louis, MO, United States.
Pradeep JainGastro-Intestinal Oncosurgery, Fortis Hospitals, New Delhi, India.
Utpal AnandDepartment of Surgical Gastroenterology, All India Institute of Medical Sciences, Patna, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Surgical smoke generated through energy devices may present detrimental effects on individuals present in the operating room (OR). Despite the concerns possibly associated with surgical smoke, there may be no mandatory policies that suggest protective measures and limited firm standards are committed yet to address the same. Aim: The aim of this paper is to present recommendations for surgeons and OR personnel by taking a consensus approach based on available literature and its interpretation by a multi-national panel of experts. Methods: The Asia-Pacific (APAC) group was established with the aims of reviewing literature evidence, discussing key issues regarding surgical smoke and its hazards, and offering a summary of statements in achieving a smoke-free OR environment. Eleven expert surgeons from the international APAC region were gathered with the purpose of coming to a consensus on engineering, best work-practices, and administrative controls in minimizing surgical smoke exposure. A two-phase consensus method was used to obtain opinions from the expert panel of specialists. Statements with an agreement of more than 80% were accepted. Findings: For twenty-one statements, the panel achieved consensus on 17 statements; another 5 were dropped due to lack of consensus. The consensus was obtained on statements that address the need for the implementation of administrative policies, training and awareness, standard procedure for the continued use of engineering controls, stringent work practice controls and preventive controls. Conclusion: The statements presented may guide surgeons and OR personnel in the practical management of surgical smoke safety, mitigating the risks associated with it. The consensus statement also provides a series of recommendations that can be used with other stakeholders, such as policymakers, hospital administrators and professional societies, to highlight and motivate the implementation of meaningful policies.

Indexed as

Operating RoomsAsiaHumansbio-aerosolshealthcare professional (HCP)occupational hazardsoperating room (OR)surgical smoke

Identifiers

PMID35692344
PMCPMC9178078

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