The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau‐leveling osteotomy surgery in dogs
Objective To evaluate the effectiveness of a smoke‐evacuation unit on reducing ultrafine particle concentration in the operating room (OR) during the approach to the proximal tibia for tibial plateau‐leveling osteotomy (TPLO). Study design Prospective, randomized, controlled clinical trial. Sample p...
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| Veröffentlicht in: | Veterinary surgery 2022-07, Vol.51 (5), p.809-815 |
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| creator | Geier, Cindy M. Barnes, Katherine H. Simon, Bradley T. Thieman Mankin, Kelley M. |
| description | Objective
To evaluate the effectiveness of a smoke‐evacuation unit on reducing ultrafine particle concentration in the operating room (OR) during the approach to the proximal tibia for tibial plateau‐leveling osteotomy (TPLO).
Study design
Prospective, randomized, controlled clinical trial.
Sample population
Twenty‐nine client‐owned dogs undergoing unilateral TPLO at a single institution were assigned to either smoke‐evacuator groups (SE; n = 15) or non–smoke‐evacuator groups (NSE; n = 14).
Methods
Dogs were randomly assigned to the SE group or the NSE group. An airborne particle measuring device measured and recorded baseline and intraoperative particles per cm3 (ppc) during the approach to the proximal tibia during which electrosurgery was used to provide hemostasis, dissect subcutis, transect and elevate fascia. The mean ppc, maximum ppc, and baseline ppc were compared between groups. Mean ppc was also compared to the baseline ppc within each group.
Results
During surgery, mean ppc (1352) and maximum ppc (62 450) for the NSE group were higher in than mean ppc (763) and maximum ppc (10 100) for the SE group (P |
| doi_str_mv | 10.1111/vsu.13794 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2634536434</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2681775022</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3534-33642ba3fd31f04b1e51c84ff37cf38009c58739b1acdf4debedab9c7d7d77ac3</originalsourceid><addsrcrecordid>eNp1kc1u1DAQxy0EokvhwAtUlrjAIa0dO5vNEa3Kh1SJAy3iFjnOeOvWiYM_FvbGI_BIPAtPwqQpHJCwDx6Pf_7PaP6EPOfslOM628d8ykXdyAdkxStRFk3FPj8kK8bXvBCyaY7IkxhvGGONlOIxORJVWcp6Xa7Iz8troGAM6ES9oYrGwd_Cr-8_YK90Vsn6kebR4iOeLgVl7Ah0UiFZ7YBqP2oYMT2DkdqRJtTzE8yZcUeD9wPtc5hjNU3BK31Nk7-j8PbNDsrRZDurqPFhiRydnEqgMnbhYA9u_uxjAp_8cKAxhx2Ew1yr97v4lDwyykV4dn8ek6s355fbd8XFh7fvt68vCi0qIQsh1rLslDC94IbJjkPF9UYaI2ptxAYno6tNLZqOK90b2UMHveoaXfe4a6XFMXm56GLbXzLE1A42anBOjeBzbMu1kBUWERLRF_-gNz6HEbtDasPrumJlidSrhdLBxxjAtFPAcYRDy1k729qire2drcie3CvmboD-L_nHRwTOFuCrdXD4v1L76ePVIvkbvqW0Ow</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2681775022</pqid></control><display><type>article</type><title>The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau‐leveling osteotomy surgery in dogs</title><source>Access via Wiley Online Library</source><creator>Geier, Cindy M. ; Barnes, Katherine H. ; Simon, Bradley T. ; Thieman Mankin, Kelley M.</creator><creatorcontrib>Geier, Cindy M. ; Barnes, Katherine H. ; Simon, Bradley T. ; Thieman Mankin, Kelley M.</creatorcontrib><description>Objective
To evaluate the effectiveness of a smoke‐evacuation unit on reducing ultrafine particle concentration in the operating room (OR) during the approach to the proximal tibia for tibial plateau‐leveling osteotomy (TPLO).
Study design
Prospective, randomized, controlled clinical trial.
Sample population
Twenty‐nine client‐owned dogs undergoing unilateral TPLO at a single institution were assigned to either smoke‐evacuator groups (SE; n = 15) or non–smoke‐evacuator groups (NSE; n = 14).
Methods
Dogs were randomly assigned to the SE group or the NSE group. An airborne particle measuring device measured and recorded baseline and intraoperative particles per cm3 (ppc) during the approach to the proximal tibia during which electrosurgery was used to provide hemostasis, dissect subcutis, transect and elevate fascia. The mean ppc, maximum ppc, and baseline ppc were compared between groups. Mean ppc was also compared to the baseline ppc within each group.
Results
During surgery, mean ppc (1352) and maximum ppc (62 450) for the NSE group were higher in than mean ppc (763) and maximum ppc (10 100) for the SE group (P < .0001, P < .0001, respectively). Mean ppc was higher in both SE (mean ppc = 763; P < .0001) and NSE (mean ppc = 1352; P = .0001) than their respective baseline ppc (213 and 240).
Conclusion
The use of a smoke evacuator decreased particle concentrations 56.4% during the approach to the proximal tibia. Performing the approach to the proximal tibia resulted in higher particle concentrations than the baseline, regardless of smoke‐evacuator use.
Clinical significance
Surgeons should be aware of smoke produced by electrosurgery, potential health consequences, and methods of smoke mitigation (smoke evacuation).</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1111/vsu.13794</identifier><identifier>PMID: 35224762</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Airborne sensing ; Biomedical materials ; Dogs ; Evacuation ; Fascia ; Hemostasis ; Hemostatics ; Knee ; Leveling ; Measuring instruments ; Mitigation ; Osteotomy ; Smoke ; Surgery ; Tibia ; Ultrafines</subject><ispartof>Veterinary surgery, 2022-07, Vol.51 (5), p.809-815</ispartof><rights>2022 American College of Veterinary Surgeons.</rights><rights>2022 The American College of Veterinary Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-33642ba3fd31f04b1e51c84ff37cf38009c58739b1acdf4debedab9c7d7d77ac3</citedby><cites>FETCH-LOGICAL-c3534-33642ba3fd31f04b1e51c84ff37cf38009c58739b1acdf4debedab9c7d7d77ac3</cites><orcidid>0000-0002-5618-1600</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvsu.13794$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvsu.13794$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35224762$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Geier, Cindy M.</creatorcontrib><creatorcontrib>Barnes, Katherine H.</creatorcontrib><creatorcontrib>Simon, Bradley T.</creatorcontrib><creatorcontrib>Thieman Mankin, Kelley M.</creatorcontrib><title>The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau‐leveling osteotomy surgery in dogs</title><title>Veterinary surgery</title><addtitle>Vet Surg</addtitle><description>Objective
To evaluate the effectiveness of a smoke‐evacuation unit on reducing ultrafine particle concentration in the operating room (OR) during the approach to the proximal tibia for tibial plateau‐leveling osteotomy (TPLO).
Study design
Prospective, randomized, controlled clinical trial.
Sample population
Twenty‐nine client‐owned dogs undergoing unilateral TPLO at a single institution were assigned to either smoke‐evacuator groups (SE; n = 15) or non–smoke‐evacuator groups (NSE; n = 14).
Methods
Dogs were randomly assigned to the SE group or the NSE group. An airborne particle measuring device measured and recorded baseline and intraoperative particles per cm3 (ppc) during the approach to the proximal tibia during which electrosurgery was used to provide hemostasis, dissect subcutis, transect and elevate fascia. The mean ppc, maximum ppc, and baseline ppc were compared between groups. Mean ppc was also compared to the baseline ppc within each group.
Results
During surgery, mean ppc (1352) and maximum ppc (62 450) for the NSE group were higher in than mean ppc (763) and maximum ppc (10 100) for the SE group (P < .0001, P < .0001, respectively). Mean ppc was higher in both SE (mean ppc = 763; P < .0001) and NSE (mean ppc = 1352; P = .0001) than their respective baseline ppc (213 and 240).
Conclusion
The use of a smoke evacuator decreased particle concentrations 56.4% during the approach to the proximal tibia. Performing the approach to the proximal tibia resulted in higher particle concentrations than the baseline, regardless of smoke‐evacuator use.
Clinical significance
Surgeons should be aware of smoke produced by electrosurgery, potential health consequences, and methods of smoke mitigation (smoke evacuation).</description><subject>Airborne sensing</subject><subject>Biomedical materials</subject><subject>Dogs</subject><subject>Evacuation</subject><subject>Fascia</subject><subject>Hemostasis</subject><subject>Hemostatics</subject><subject>Knee</subject><subject>Leveling</subject><subject>Measuring instruments</subject><subject>Mitigation</subject><subject>Osteotomy</subject><subject>Smoke</subject><subject>Surgery</subject><subject>Tibia</subject><subject>Ultrafines</subject><issn>0161-3499</issn><issn>1532-950X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp1kc1u1DAQxy0EokvhwAtUlrjAIa0dO5vNEa3Kh1SJAy3iFjnOeOvWiYM_FvbGI_BIPAtPwqQpHJCwDx6Pf_7PaP6EPOfslOM628d8ykXdyAdkxStRFk3FPj8kK8bXvBCyaY7IkxhvGGONlOIxORJVWcp6Xa7Iz8troGAM6ES9oYrGwd_Cr-8_YK90Vsn6kebR4iOeLgVl7Ah0UiFZ7YBqP2oYMT2DkdqRJtTzE8yZcUeD9wPtc5hjNU3BK31Nk7-j8PbNDsrRZDurqPFhiRydnEqgMnbhYA9u_uxjAp_8cKAxhx2Ew1yr97v4lDwyykV4dn8ek6s355fbd8XFh7fvt68vCi0qIQsh1rLslDC94IbJjkPF9UYaI2ptxAYno6tNLZqOK90b2UMHveoaXfe4a6XFMXm56GLbXzLE1A42anBOjeBzbMu1kBUWERLRF_-gNz6HEbtDasPrumJlidSrhdLBxxjAtFPAcYRDy1k729qire2drcie3CvmboD-L_nHRwTOFuCrdXD4v1L76ePVIvkbvqW0Ow</recordid><startdate>202207</startdate><enddate>202207</enddate><creator>Geier, Cindy M.</creator><creator>Barnes, Katherine H.</creator><creator>Simon, Bradley T.</creator><creator>Thieman Mankin, Kelley M.</creator><general>John Wiley & Sons, Inc</general><general>Blackwell Publishing Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5618-1600</orcidid></search><sort><creationdate>202207</creationdate><title>The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau‐leveling osteotomy surgery in dogs</title><author>Geier, Cindy M. ; Barnes, Katherine H. ; Simon, Bradley T. ; Thieman Mankin, Kelley M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-33642ba3fd31f04b1e51c84ff37cf38009c58739b1acdf4debedab9c7d7d77ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Airborne sensing</topic><topic>Biomedical materials</topic><topic>Dogs</topic><topic>Evacuation</topic><topic>Fascia</topic><topic>Hemostasis</topic><topic>Hemostatics</topic><topic>Knee</topic><topic>Leveling</topic><topic>Measuring instruments</topic><topic>Mitigation</topic><topic>Osteotomy</topic><topic>Smoke</topic><topic>Surgery</topic><topic>Tibia</topic><topic>Ultrafines</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Geier, Cindy M.</creatorcontrib><creatorcontrib>Barnes, Katherine H.</creatorcontrib><creatorcontrib>Simon, Bradley T.</creatorcontrib><creatorcontrib>Thieman Mankin, Kelley M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Geier, Cindy M.</au><au>Barnes, Katherine H.</au><au>Simon, Bradley T.</au><au>Thieman Mankin, Kelley M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau‐leveling osteotomy surgery in dogs</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Vet Surg</addtitle><date>2022-07</date><risdate>2022</risdate><volume>51</volume><issue>5</issue><spage>809</spage><epage>815</epage><pages>809-815</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><abstract>Objective
To evaluate the effectiveness of a smoke‐evacuation unit on reducing ultrafine particle concentration in the operating room (OR) during the approach to the proximal tibia for tibial plateau‐leveling osteotomy (TPLO).
Study design
Prospective, randomized, controlled clinical trial.
Sample population
Twenty‐nine client‐owned dogs undergoing unilateral TPLO at a single institution were assigned to either smoke‐evacuator groups (SE; n = 15) or non–smoke‐evacuator groups (NSE; n = 14).
Methods
Dogs were randomly assigned to the SE group or the NSE group. An airborne particle measuring device measured and recorded baseline and intraoperative particles per cm3 (ppc) during the approach to the proximal tibia during which electrosurgery was used to provide hemostasis, dissect subcutis, transect and elevate fascia. The mean ppc, maximum ppc, and baseline ppc were compared between groups. Mean ppc was also compared to the baseline ppc within each group.
Results
During surgery, mean ppc (1352) and maximum ppc (62 450) for the NSE group were higher in than mean ppc (763) and maximum ppc (10 100) for the SE group (P < .0001, P < .0001, respectively). Mean ppc was higher in both SE (mean ppc = 763; P < .0001) and NSE (mean ppc = 1352; P = .0001) than their respective baseline ppc (213 and 240).
Conclusion
The use of a smoke evacuator decreased particle concentrations 56.4% during the approach to the proximal tibia. Performing the approach to the proximal tibia resulted in higher particle concentrations than the baseline, regardless of smoke‐evacuator use.
Clinical significance
Surgeons should be aware of smoke produced by electrosurgery, potential health consequences, and methods of smoke mitigation (smoke evacuation).</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>35224762</pmid><doi>10.1111/vsu.13794</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-5618-1600</orcidid></addata></record> |
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| ispartof | Veterinary surgery, 2022-07, Vol.51 (5), p.809-815 |
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| language | eng |
| recordid | cdi_proquest_miscellaneous_2634536434 |
| source | Access via Wiley Online Library |
| subjects | Airborne sensing Biomedical materials Dogs Evacuation Fascia Hemostasis Hemostatics Knee Leveling Measuring instruments Mitigation Osteotomy Smoke Surgery Tibia Ultrafines |
| title | The effect of a smoke‐evacuation unit on ultrafine particle concentrations in the operating room during approach to the proximal tibia for tibial plateau‐leveling osteotomy surgery in dogs |
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