Polycyclic aromatic hydrocarbons produced by electrocautery smoke and the use of personal protective equipment 1.

Autor:	Claudio CV; MSc, RN, Hospital do Coração de Londrina, Londrina, PR, Brazil., Ribeiro RP; PhD, Adjunct Professor, Departamento de Enfermagem, Universidade Estadual de Londrina, Londrina, PR, Brazil., Martins JT; PhD, Adjunct Professor, Departamento de Enfermagem, Universidade Estadual de Londrina, Londrina, PR, Brazil., Marziale MH; PhD, Full Professor, Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo, WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil., Solci MC; PhD, Associate Professor, Departamento de Química, Universidade Estadual de Londrina, Londrina, PR, Brazil., Dalmas JC; PhD, Associate Professor, Departamento de Estatística, Universidade Estadual de Londrina, Londrina, PR, Brazil.
Jazyk:	English; Portuguese; Spanish; Castilian
Zdroj:	Revista latino-americana de enfermagem [Rev Lat Am Enfermagem] 2017 Mar 02; Vol. 25, pp. e2853. Date of Electronic Publication: 2017 Mar 02.
DOI:	10.1590/1518-8345.1561.2853
Abstrakt:	Objective: analyze the concentration of polycyclic aromatic hydrocarbons in electrocautery smoke in operating rooms and the use of personal protective equipment by the intraoperative team when exposed to hydrocarbons. Method: exploratory and cross-sectional field research conducted in a surgery center. Gases were collected by a vacuum suction pump from a sample of 50 abdominal surgeries in which an electrocautery was used. A form was applied to identify the use of personal protective equipment. Gases were analyzed using chromatography. Descriptive statistics and Spearman's test were used to treat data. Results: there were 17 (34%) cholecystectomies with an average duration of 136 minutes, while the average time of electrocautery usage was 3.6 minutes. Airborne hydrocarbons were detected in operating rooms in 100% of the surgeries. Naphthalene was detected in 48 (96.0%) surgeries and phenanthrene in 49 (98.0%). The average concentration of these compounds was 0.0061 mg/m3 and a strong correlation (0.761) was found between them. The intraoperative teams did not use respirator masks such as the N95. Conclusion: electrocautery smoke produces gases that are harmful to the health of the intraoperative team, which is a concern considering the low adherence to the use of personal protective equipment.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu