Evidence map›Paper›PMID 37439949›Full record

ReviewArchives of orthopaedic and trauma surgery2023

Surgical smoke and the orthopedic surgeon: a non-systematic review of the hazards and strategies for mitigating risk.

Ryan LeDuc, Carlo Eikani, Brooke Dickens, Adam Schiff, Nicholas Brown

Abstract readReview
PubMed Publisher
In one paragraph

Review in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

5 authors at 2 institutions in 1 country.

Ryan LeDucDepartment of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, 2160 S 1St Ave, Suite 1700, Maywood, IL, 60153, USA. ryan.leduc@luhs.org.ORCID http://orcid.org/0000-0003-3022-5238
Carlo EikaniDepartment of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, 2160 S 1St Ave, Suite 1700, Maywood, IL, 60153, USA.
Brooke DickensDepartment of Orthopaedic Surgery, Wake Forest University Baptist Medical Center, Winston-Salem, NC, USA.
Adam SchiffDepartment of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, 2160 S 1St Ave, Suite 1700, Maywood, IL, 60153, USA.
Nicholas BrownDepartment of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, 2160 S 1St Ave, Suite 1700, Maywood, IL, 60153, USA.
Loyola University Medical Center · USAtrium Health Wake Forest Baptist · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgical smoke generated through the use of electrical surgical devices poses a risk to the surgeon, medical personnel in the operating room, and the patient by exposing them to environmentally hazardous particulate matter. Previous investigation has shown that surgical smoke leads to an increased risk of pulmonary conditions, circulatory disorders, and irritation of the eyes, nose, and throat. Transmission of infectious disease can occur through inhalation of viral particles, and the presence of carcinogens are also of major concern. The deleterious effects of surgical smoke are well documented in several subspecialties, namely dermatology and general surgery, but there has been little discussion on the topic amongst orthopedic surgeons.

methodsA non-systematic review of the literature was completed with the aim of identifying the major categories of adverse health effects associated with surgical smoke inhalation and offering recommendations to reduce these hazards in the orthopedic surgical community.

resultsThree primary categories of risk associated with surgical smoke inhalation were identified: inflammation, viral/bacterial transmission, and carcinogenicity. In addition, strategies for mitigating risk and best practice recommendations were explored.

conclusionSurgical smoke is an under-recognized occupational hazard within the orthopedic surgery literature. There are several strategies which can be employed to reduce risk. Further investigation is needed to understand the long-term impact of these risks, as well as what can be done to improve the practicality and compliance with protective measures.

Indexed as

Occupational ExposureOrthopedic SurgeonsSurgeonsHumansOperating RoomsSmokeSmokeCarcinogensOrthopedicsSmoke inhalationSurgerySurgical smoke

Identifiers

PMID37439949
OpenAlexW4384120645

What OpenQuestion holds

Textmetadata
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.