Composition of volatile organic compounds in diathermy plume as detected by selected ion flow tube mass spectrometry

ANZ Journal of Surgery

Volumn 77, Issue 1-2, 2007, Pages 20-23

  Moot, Andrew R ^a,b   Ledingham, Katherine M ^a,b   Wilson, Paul F ^b   Senthilmohan, Senti T ^b   Lewis, David R ^a   Roake, Justin ^a   Allardyce, Randall ^a,b  

^a UNIVERSITY OF OTAGO   (New Zealand)

^b Syft Technologies Limited Christchurch   (New Zealand)

Author keywords

Diathermy; SIFT MS; Surgical plume; Volatile compounds

Indexed keywords

1,3 BUTADIENE; ACETYLENE; AMMONIA; FORMALDEHYDE; HYDROGEN CYANIDE; VOLATILE ORGANIC COMPOUND;

ACCURACY; ARTICLE; CHEMICAL COMPOSITION; DIATHERMY; HEALTH HAZARD; MASS SPECTROMETRY; MOLECULAR WEIGHT; PLUME; QUANTITATIVE ANALYSIS; SELECTED ION FLOW TUBE MASS SPECTROMETRY; SURGICAL TECHNIQUE;

ABDOMINAL WALL; ACETYLENE; BUTADIENES; ELECTROCOAGULATION; GAS CHROMATOGRAPHY-MASS SPECTROMETRY; HUMANS; HYDROGEN CYANIDE; MASS SPECTROMETRY; ORGANIC CHEMICALS; SUCTION; VOLATILIZATION;

EID: 33846438641     PISSN: 14451433     EISSN: 14452197     Source Type: Journal    
DOI: 10.1111/j.1445-2197.2006.03827.x     Document Type: Article

References (34)

1. Nduka CC, Poland N, Kennedy M, Dye J, Darzi A. Does the ultrasonically activated scalpel release viable airborne cancer cells? Surg. Endosc. 1998; 12: 1031-4.
2. Nezhat C, Winer WK, Nezhat F, Nezhat C, Forrest D, Reeves WG. Smoke from laser surgery: is there a health hazard? Lasers Surg. Med. 1987; 7: 376-82.
3. Fletcher JN, Mew D, DesCoteaux JG. Dissemination of melanoma cells within electrocautery plume. Am. J. Surg. 1999; 178: 57-9.
4. Canestri F. The fluidodynamics of potentially neoplastic plumes produced by medical lasers: first quantitative non-tissue-specific measurements using PMMA samples (phase I). J. Clin. Laser Med. Surg. 1999; 17: 199-203.
5. Garden JM, O'Banion MK, Bakus AD, Olson C. Viral disease transmitted by laser-generated plume (aerosol). Arch. Dermatol. 2002; 138: 1303-7.
6. Garden JM, O'Banion MK, Shelnitz LS et al. Papillomavirus in the vapor of carbon dioxide laser-treated verrucae. JAMA 1988; 259: 1199-202.
7. Sawchuk WS, Weber PJ, Lowy DR, Dzubow LM. Infectious papillomavirus in the vapour of warts treated with carbon dioxide laser or electrocoagulation: detection and protection. J. Am. Acad. Dermatol. 1989; 21: 41-9.
8. Kashima HK, Kessis T, Mounts P, Shah K. Polymerase chain reaction identification of human papillomavirus DNA in CO2 laser plume from recurrent respiratory papillomatosis. Otolaryngol. Head Neck Surg. 1991; 104: 191-5.
9. Hughes PS, Hughes AP. Absence of human papillomavirus DNA in the plume of erbium:YAG laser-treated warts. J. Am. Acad. Dermatol. 1998; 38: 426-8.
10. Kunachak S, Sithisarn P, Kulapaditharom B. Are laryngeal papilloma virus-infected cells viable in the plume derived from a continuous mode carbon dioxide laser, and are they infectious? A preliminary report on one laser mode. J. Laryngol. Otol. 1996; 110: 1031-3.
11. Gloster HM Jr, Roenigk RK. Risk of acquiring human papillomavirus from the plume produced by the carbon dioxide laser in the treatment of warts. J. Am. Acad. Dermatol. 1995; 32: 436-41.
12. Hallmo P, Naess O. Laryngeal papillomatosis with human papillomavirus DNA contracted by a laser surgeon. Eur. Arch. Otorhinolaryngol. 1991; 248: 425-7.
13. Calero L, Brusis T. [Laryngeal papillomatosis - first recognition in Germany as an occupational disease in an operating room nurse.] Laryngorhinootologie 2003; 82: 790-93. (In German.)
14. Taravella MJ, Viega J, Luiszer F et al. Respirable particles in the excimer laser plume. J. Cataract Refract. Surg. 2001; 27: 604-7.
15. Taravella MJ, Weinberg A, May M, Stepp P. Live virus survives excimer laser ablation. Ophthalmology 1999; 106: 1498-9.
16. Španěl P, Smith D. Selected ion flow tube: a technique for quantitative trace gas analysis of air and breath. Med. Biol. Eng. Comput. 1996; 34: 409-19.
17. Sagar PM, Meagher A, Sobczak S, Wolff BG. Chemical composition and potential hazards of electrocautery smoke. Br. J. Surg. 1996; 83: 1792.
18. Hollmann R, Hort CE, Kammer E, Naegele M, Sigrist MW, Meuli-Simmen C. Smoke in the operating theatre: an unregarded source of danger. Plast. Reconstr. Surg. 2004; 114: 458-63.
19. Španěl P, Wang T, Smith D. Quantification of hydrogen cyanide in humid air by selected ion flow tube mass spectrometry. Rapid Commun. Mass Spectrom. 2004; 18: 1869-73.
20. + ions. Int. J. Mass Spectrom. 2003; 229: 143-9.
21. Gatti JE, Bryant CJ, Noone RB, Murphy JB. The mutagenicity of electrocautery smoke. Plast. Reconstr. Surg. 1992; 89: 781-6.
22. Tomita Y, Mihashi S, Nagata K et al. Mutagenicity of smoke condensate induced by CO2 laser irradiation and electrocauterisation. Mutat. Res. 1981; 89: 145-9.
23. Diskin AM, Wang T, Smith D, Španel P. A selected ion flow tube (SIFT), study of the reactions of H3O+, NO+ and O2+ ions with a series of alkenes; in support of SIFT-MS. Int. J. Mass Spectrom. 2002; 218: 87-101.
24. El Ghawabi SH, Gaafar MA, El-Saharti AA, Ahmed SH, Malash KK, Fares R. Chronic cyanide exposure: a clinical, radioisotope, and laboratory study. Br. J. Ind. Med. 1975; 32: 215-19.
25. Chandra H, Gupta BN, Bhargava SK, Clerk SH, Mahendra PN. Chronic cyanide exposure - a biochemical and industrial hygiene study. J. Anal. Toxicol. 1980; 4: 161-5.
26. Blanc P, Hogan M, Mallin K, Hryhorczuk D, Hessl S, Bernard B. Cyanide intoxication among silver-reclaiming workers. JAMA 1985; 253: 367-71.
27. Laugesen M, Fowles J. Scope for regulation of cigarette smoke toxicity according to brand differences in published toxicant emissions. N. Z. Med. J. 2005; 118: U1401.
28. Laugesen M, Fowles J. Marlboro UltraSmooth: a potentially reduced exposure cigarette? Tob. Control 2006; 15: 430-35.
29. US Department of Health and Human Services. The Health Consequences of Smoking: Nicotine Addiction. A Report of the Surgeon General, 1988. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, Center for Health Promotion and Education, Office on Smoking and Health, 1988. DHHS Publication No. (CDC) 88-8406.
30. Svardsudd K, Wedel H, Gordh T Jr. Mortality rates among Swedish physicians: a population-based nationwide study with special reference to anesthesiologists. Acta Anaesthesiol. Scand. 2002; 46: 1187-95.
31. Alexander BH, Checkoway H, Nagahama SI, Domino KB. Cause-specific mortality risks of anesthesiologists. Anesthesiology 2000; 93: 922-30.
32. US Department of Labour. Occupational Safety and Health Administration. Safety and Health Topics: Permissible Exposure Limits. [updated 3 April 2006; cited 9 July 2003.] Available from URL: www.osha.gov/SLTC/pel/
33. Pillinger SH, Delbridge L, Lewis DR. Randomized clinical trial of suction versus standard clearance of the diathermy plume. Br. J. Surg. 2003; 90: 1068-71.
34. Hou MF, Lin GT, Tang CS et al. Reducing dust using the electrocautery pencil with suction combined with the infusion catheter in mastectomy. Am. Surg. 2002; 68: 808-11.