Electrocautery Devices With Feedback Mode and Teflon-Coated Blades Create Less Surgical Smoke for a Quality Improvement in the Operating Theater
Monopolar electrocautery is a fast and elegant cutting option. However, as it creates surgical smoke containing polycyclic aromatic hydrocarbons (PAHs), it may be hazardous to the health of the surgical team. Although new technologies, such as feedback mode (FM) and Teflon-coated blades (TBs), reduc...
Gespeichert in:
| Veröffentlicht in: | Medicine (Baltimore) 2015-07, Vol.94 (27), p.e1104-e1104 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e1104 |
|---|---|
| container_issue | 27 |
| container_start_page | e1104 |
| container_title | Medicine (Baltimore) |
| container_volume | 94 |
| creator | Kisch, Tobias Liodaki, Eirini Kraemer, Robert Mailaender, Peter Brandenburger, Matthias Hellwig, Veronika Stang, Felix H. |
| description | Monopolar electrocautery is a fast and elegant cutting option. However, as it creates surgical smoke containing polycyclic aromatic hydrocarbons (PAHs), it may be hazardous to the health of the surgical team. Although new technologies, such as feedback mode (FM) and Teflon-coated blades (TBs), reduce tissue damage, their impact on surgical smoke creation has not yet been elucidated. Therefore, we analyzed the plume at its source.The aim of this study was to evaluate if electrocautery FM and TBs create less surgical smoke.Porcine tissue containing skin was cut in a standardized manner using sharp-edged Teflon-coated blades (SETBs), normal-shaped TBs, or stainless steel blades (SSBs). Experiments were performed using FM and pure-cut mode. Surgical smoke was sucked through filters or adsorption tubes. Subsequently, filters were scanned and analyzed using a spectrophotometer. A high-performance liquid chromatography (HPLC-UV) was performed to detect benzo[a]pyrene (BaP) and phenanthrene as 2 of the most critical PAHs. Temperature changes at the cutting site were measured by an infrared thermometer.In FM, more surgical smoke was created using SSB compared with TBs (P |
| doi_str_mv | 10.1097/MD.0000000000001104 |
| format | Article |
| fullrecord | <record><control><sourceid>pubmed_cross</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4504583</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>26166102</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4509-ae1d4e2bfcafa5ab2bb2fd68d7a4b2df97174b6b4d07182cabca1b864a9ad3c43</originalsourceid><addsrcrecordid>eNpdkdFu0zAUhi0EYt3gCZCQXyDDdpy4uUGCdmOTWk1oRVxGx_ZJE-rEleN06lvwyHgUpoFvLB___3eOzk_IO84uOavUh_Xykj07nDP5gsx4kZdZUZXyJZkxJopMVUqekfNx_JE0uRLyNTkTJS9LzsSM_LxyaGLwBqaI4UiXeOgMjvR7F1t6jWg1mB1de4sUBks32Dg_ZAsPES397MAm7SJgetIVjiO9n8K2M-Dofe93SBsfKNCvE7guHultvw_-gD0OkXYDjS3Suz0GiN2wpZv2kRLekFcNuBHf_rkvyLfrq83iJlvdfbldfFplRhasygC5lSh0Y6CBArTQWjS2nFsFUgvbVIorqUstLVN8LgxoA1zPSwkV2NzI_IJ8PHH3k-7RmjRTAFfvQ9dDONYeuvrfn6Fr660_1Km9LOZ5AuQngAl-HAM2T17O6seA6vWy_j-g5Hr_vO2T528iSSBPggfv0jrGnZseMNRpOS62v3mFqkQmGC-YYoJlqZJX-S-vup92</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Electrocautery Devices With Feedback Mode and Teflon-Coated Blades Create Less Surgical Smoke for a Quality Improvement in the Operating Theater</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Wolters Kluwer Open Health</source><source>IngentaConnect Free/Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Kisch, Tobias ; Liodaki, Eirini ; Kraemer, Robert ; Mailaender, Peter ; Brandenburger, Matthias ; Hellwig, Veronika ; Stang, Felix H.</creator><creatorcontrib>Kisch, Tobias ; Liodaki, Eirini ; Kraemer, Robert ; Mailaender, Peter ; Brandenburger, Matthias ; Hellwig, Veronika ; Stang, Felix H.</creatorcontrib><description>Monopolar electrocautery is a fast and elegant cutting option. However, as it creates surgical smoke containing polycyclic aromatic hydrocarbons (PAHs), it may be hazardous to the health of the surgical team. Although new technologies, such as feedback mode (FM) and Teflon-coated blades (TBs), reduce tissue damage, their impact on surgical smoke creation has not yet been elucidated. Therefore, we analyzed the plume at its source.The aim of this study was to evaluate if electrocautery FM and TBs create less surgical smoke.Porcine tissue containing skin was cut in a standardized manner using sharp-edged Teflon-coated blades (SETBs), normal-shaped TBs, or stainless steel blades (SSBs). Experiments were performed using FM and pure-cut mode. Surgical smoke was sucked through filters or adsorption tubes. Subsequently, filters were scanned and analyzed using a spectrophotometer. A high-performance liquid chromatography (HPLC-UV) was performed to detect benzo[a]pyrene (BaP) and phenanthrene as 2 of the most critical PAHs. Temperature changes at the cutting site were measured by an infrared thermometer.In FM, more surgical smoke was created using SSB compared with TBs (P < 0.001). Furthermore, differences between FM and pure-cut mode were found for SSB and TB (P < 0.001), but not for SETB (P = 0.911). Photometric analysis revealed differences in the peak heights of the PAH spectrum. In HLPC-UV, the amount of BaP and phenanthrene detected was lower for TB compared with SSB. Tissue temperature variations increased when SSB was used in FM and pure-cut mode. Furthermore, different modes revealed higher temperature variations with the use of SETB (P = 0.004) and TB (P = 0.005) during cutting, but not SSB (P = 0.789).We found that the use of both TBs and FM was associated with reduced amounts of surgical smoke created during cutting. Thus, the surgical team may benefit from the adoption of such new technologies, which could contribute to the primary prevention of smoke-related diseases.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000001104</identifier><identifier>PMID: 26166102</identifier><language>eng</language><publisher>United States: Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Animals ; Benzo(a)pyrene - analysis ; Chromatography, High Pressure Liquid ; Electrocoagulation - instrumentation ; Environmental Monitoring ; Phenanthrenes - analysis ; Polytetrafluoroethylene ; Quality Improvement Study ; Smoke - analysis ; Smoke - prevention & control ; Surgical Procedures, Operative - methods ; Swine ; Temperature</subject><ispartof>Medicine (Baltimore), 2015-07, Vol.94 (27), p.e1104-e1104</ispartof><rights>Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4509-ae1d4e2bfcafa5ab2bb2fd68d7a4b2df97174b6b4d07182cabca1b864a9ad3c43</citedby><cites>FETCH-LOGICAL-c4509-ae1d4e2bfcafa5ab2bb2fd68d7a4b2df97174b6b4d07182cabca1b864a9ad3c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4504583/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4504583/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26166102$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kisch, Tobias</creatorcontrib><creatorcontrib>Liodaki, Eirini</creatorcontrib><creatorcontrib>Kraemer, Robert</creatorcontrib><creatorcontrib>Mailaender, Peter</creatorcontrib><creatorcontrib>Brandenburger, Matthias</creatorcontrib><creatorcontrib>Hellwig, Veronika</creatorcontrib><creatorcontrib>Stang, Felix H.</creatorcontrib><title>Electrocautery Devices With Feedback Mode and Teflon-Coated Blades Create Less Surgical Smoke for a Quality Improvement in the Operating Theater</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>Monopolar electrocautery is a fast and elegant cutting option. However, as it creates surgical smoke containing polycyclic aromatic hydrocarbons (PAHs), it may be hazardous to the health of the surgical team. Although new technologies, such as feedback mode (FM) and Teflon-coated blades (TBs), reduce tissue damage, their impact on surgical smoke creation has not yet been elucidated. Therefore, we analyzed the plume at its source.The aim of this study was to evaluate if electrocautery FM and TBs create less surgical smoke.Porcine tissue containing skin was cut in a standardized manner using sharp-edged Teflon-coated blades (SETBs), normal-shaped TBs, or stainless steel blades (SSBs). Experiments were performed using FM and pure-cut mode. Surgical smoke was sucked through filters or adsorption tubes. Subsequently, filters were scanned and analyzed using a spectrophotometer. A high-performance liquid chromatography (HPLC-UV) was performed to detect benzo[a]pyrene (BaP) and phenanthrene as 2 of the most critical PAHs. Temperature changes at the cutting site were measured by an infrared thermometer.In FM, more surgical smoke was created using SSB compared with TBs (P < 0.001). Furthermore, differences between FM and pure-cut mode were found for SSB and TB (P < 0.001), but not for SETB (P = 0.911). Photometric analysis revealed differences in the peak heights of the PAH spectrum. In HLPC-UV, the amount of BaP and phenanthrene detected was lower for TB compared with SSB. Tissue temperature variations increased when SSB was used in FM and pure-cut mode. Furthermore, different modes revealed higher temperature variations with the use of SETB (P = 0.004) and TB (P = 0.005) during cutting, but not SSB (P = 0.789).We found that the use of both TBs and FM was associated with reduced amounts of surgical smoke created during cutting. Thus, the surgical team may benefit from the adoption of such new technologies, which could contribute to the primary prevention of smoke-related diseases.</description><subject>Animals</subject><subject>Benzo(a)pyrene - analysis</subject><subject>Chromatography, High Pressure Liquid</subject><subject>Electrocoagulation - instrumentation</subject><subject>Environmental Monitoring</subject><subject>Phenanthrenes - analysis</subject><subject>Polytetrafluoroethylene</subject><subject>Quality Improvement Study</subject><subject>Smoke - analysis</subject><subject>Smoke - prevention & control</subject><subject>Surgical Procedures, Operative - methods</subject><subject>Swine</subject><subject>Temperature</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkdFu0zAUhi0EYt3gCZCQXyDDdpy4uUGCdmOTWk1oRVxGx_ZJE-rEleN06lvwyHgUpoFvLB___3eOzk_IO84uOavUh_Xykj07nDP5gsx4kZdZUZXyJZkxJopMVUqekfNx_JE0uRLyNTkTJS9LzsSM_LxyaGLwBqaI4UiXeOgMjvR7F1t6jWg1mB1de4sUBks32Dg_ZAsPES397MAm7SJgetIVjiO9n8K2M-Dofe93SBsfKNCvE7guHultvw_-gD0OkXYDjS3Suz0GiN2wpZv2kRLekFcNuBHf_rkvyLfrq83iJlvdfbldfFplRhasygC5lSh0Y6CBArTQWjS2nFsFUgvbVIorqUstLVN8LgxoA1zPSwkV2NzI_IJ8PHH3k-7RmjRTAFfvQ9dDONYeuvrfn6Fr660_1Km9LOZ5AuQngAl-HAM2T17O6seA6vWy_j-g5Hr_vO2T528iSSBPggfv0jrGnZseMNRpOS62v3mFqkQmGC-YYoJlqZJX-S-vup92</recordid><startdate>20150701</startdate><enddate>20150701</enddate><creator>Kisch, Tobias</creator><creator>Liodaki, Eirini</creator><creator>Kraemer, Robert</creator><creator>Mailaender, Peter</creator><creator>Brandenburger, Matthias</creator><creator>Hellwig, Veronika</creator><creator>Stang, Felix H.</creator><general>Wolters Kluwer Health, Inc. All rights reserved</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20150701</creationdate><title>Electrocautery Devices With Feedback Mode and Teflon-Coated Blades Create Less Surgical Smoke for a Quality Improvement in the Operating Theater</title><author>Kisch, Tobias ; Liodaki, Eirini ; Kraemer, Robert ; Mailaender, Peter ; Brandenburger, Matthias ; Hellwig, Veronika ; Stang, Felix H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4509-ae1d4e2bfcafa5ab2bb2fd68d7a4b2df97174b6b4d07182cabca1b864a9ad3c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Animals</topic><topic>Benzo(a)pyrene - analysis</topic><topic>Chromatography, High Pressure Liquid</topic><topic>Electrocoagulation - instrumentation</topic><topic>Environmental Monitoring</topic><topic>Phenanthrenes - analysis</topic><topic>Polytetrafluoroethylene</topic><topic>Quality Improvement Study</topic><topic>Smoke - analysis</topic><topic>Smoke - prevention & control</topic><topic>Surgical Procedures, Operative - methods</topic><topic>Swine</topic><topic>Temperature</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kisch, Tobias</creatorcontrib><creatorcontrib>Liodaki, Eirini</creatorcontrib><creatorcontrib>Kraemer, Robert</creatorcontrib><creatorcontrib>Mailaender, Peter</creatorcontrib><creatorcontrib>Brandenburger, Matthias</creatorcontrib><creatorcontrib>Hellwig, Veronika</creatorcontrib><creatorcontrib>Stang, Felix H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kisch, Tobias</au><au>Liodaki, Eirini</au><au>Kraemer, Robert</au><au>Mailaender, Peter</au><au>Brandenburger, Matthias</au><au>Hellwig, Veronika</au><au>Stang, Felix H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Electrocautery Devices With Feedback Mode and Teflon-Coated Blades Create Less Surgical Smoke for a Quality Improvement in the Operating Theater</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2015-07-01</date><risdate>2015</risdate><volume>94</volume><issue>27</issue><spage>e1104</spage><epage>e1104</epage><pages>e1104-e1104</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>Monopolar electrocautery is a fast and elegant cutting option. However, as it creates surgical smoke containing polycyclic aromatic hydrocarbons (PAHs), it may be hazardous to the health of the surgical team. Although new technologies, such as feedback mode (FM) and Teflon-coated blades (TBs), reduce tissue damage, their impact on surgical smoke creation has not yet been elucidated. Therefore, we analyzed the plume at its source.The aim of this study was to evaluate if electrocautery FM and TBs create less surgical smoke.Porcine tissue containing skin was cut in a standardized manner using sharp-edged Teflon-coated blades (SETBs), normal-shaped TBs, or stainless steel blades (SSBs). Experiments were performed using FM and pure-cut mode. Surgical smoke was sucked through filters or adsorption tubes. Subsequently, filters were scanned and analyzed using a spectrophotometer. A high-performance liquid chromatography (HPLC-UV) was performed to detect benzo[a]pyrene (BaP) and phenanthrene as 2 of the most critical PAHs. Temperature changes at the cutting site were measured by an infrared thermometer.In FM, more surgical smoke was created using SSB compared with TBs (P < 0.001). Furthermore, differences between FM and pure-cut mode were found for SSB and TB (P < 0.001), but not for SETB (P = 0.911). Photometric analysis revealed differences in the peak heights of the PAH spectrum. In HLPC-UV, the amount of BaP and phenanthrene detected was lower for TB compared with SSB. Tissue temperature variations increased when SSB was used in FM and pure-cut mode. Furthermore, different modes revealed higher temperature variations with the use of SETB (P = 0.004) and TB (P = 0.005) during cutting, but not SSB (P = 0.789).We found that the use of both TBs and FM was associated with reduced amounts of surgical smoke created during cutting. Thus, the surgical team may benefit from the adoption of such new technologies, which could contribute to the primary prevention of smoke-related diseases.</abstract><cop>United States</cop><pub>Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>26166102</pmid><doi>10.1097/MD.0000000000001104</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-7974 |
| ispartof | Medicine (Baltimore), 2015-07, Vol.94 (27), p.e1104-e1104 |
| issn | 0025-7974 1536-5964 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4504583 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Wolters Kluwer Open Health; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Animals Benzo(a)pyrene - analysis Chromatography, High Pressure Liquid Electrocoagulation - instrumentation Environmental Monitoring Phenanthrenes - analysis Polytetrafluoroethylene Quality Improvement Study Smoke - analysis Smoke - prevention & control Surgical Procedures, Operative - methods Swine Temperature |
| title | Electrocautery Devices With Feedback Mode and Teflon-Coated Blades Create Less Surgical Smoke for a Quality Improvement in the Operating Theater |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T07%3A53%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-pubmed_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Electrocautery%20Devices%20With%20Feedback%20Mode%20and%20Teflon-Coated%20Blades%20Create%20Less%20Surgical%20Smoke%20for%20a%20Quality%20Improvement%20in%20the%20Operating%20Theater&rft.jtitle=Medicine%20(Baltimore)&rft.au=Kisch,%20Tobias&rft.date=2015-07-01&rft.volume=94&rft.issue=27&rft.spage=e1104&rft.epage=e1104&rft.pages=e1104-e1104&rft.issn=0025-7974&rft.eissn=1536-5964&rft_id=info:doi/10.1097/MD.0000000000001104&rft_dat=%3Cpubmed_cross%3E26166102%3C/pubmed_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/26166102&rfr_iscdi=true |