A Novel Inspection Protocol to Detect Volatile Compounds in Breast Surgery Electrocautery Smoke
Electrocautery procedures generate malodorous smoke. This study quantified five volatile organic compounds detected in the smoke produced during breast surgery, and elucidated the factors that affect their chemical production. Methods: All samplers were assembled in an acrylic chamber with a Tygon t...
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doaj-211f2bbf66b44a8eb386fd8f72ee83682020-11-24T21:19:51ZengElsevierJournal of the Formosan Medical Association0929-66462010-07-01109751151610.1016/S0929-6646(10)60085-XA Novel Inspection Protocol to Detect Volatile Compounds in Breast Surgery Electrocautery SmokeYu-Wen Lin0Shou-Zen Fan1Kuo-Hui Chang2Chiun-Sheng Huang3Chin-Sheng Tang4Department of Public Health, College of Medicine, Fu Jen Catholic University, Taipei County, TaiwanDepartment of Anesthesiology, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei City, TaiwanDepartment of Public Health, College of Medicine, Fu Jen Catholic University, Taipei County, TaiwanDepartment of Surgery, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei City, TaiwanDepartment of Public Health, College of Medicine, Fu Jen Catholic University, Taipei County, TaiwanElectrocautery procedures generate malodorous smoke. This study quantified five volatile organic compounds detected in the smoke produced during breast surgery, and elucidated the factors that affect their chemical production. Methods: All samplers were assembled in an acrylic chamber with a Tygon tube attached to the tip of a diathermy pencil. The electrocautery smoke was quantified by gas chromatography/mass spectrometry. Results: In all samples, toluene was identified in concentrations of 2.48–5.50 mg/m3. Higher concentrations were observed during modified radical mastectomy procedures. Patients with high body mass index revealed high toluene concentrations. Longer duration of electrocautery tended to produce more toluene. Conclusion: The sampling protocol enabled acquisition of smoke samples near the source without interrupting surgery. The findings suggest that type of surgery, patient body mass index and duration of electrocautery are factors that can alter production of chemicals.http://www.sciencedirect.com/science/article/pii/S092966461060085Xdiathermysurgical plumevolatile compounds |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yu-Wen Lin Shou-Zen Fan Kuo-Hui Chang Chiun-Sheng Huang Chin-Sheng Tang |
spellingShingle |
Yu-Wen Lin Shou-Zen Fan Kuo-Hui Chang Chiun-Sheng Huang Chin-Sheng Tang A Novel Inspection Protocol to Detect Volatile Compounds in Breast Surgery Electrocautery Smoke Journal of the Formosan Medical Association diathermy surgical plume volatile compounds |
author_facet |
Yu-Wen Lin Shou-Zen Fan Kuo-Hui Chang Chiun-Sheng Huang Chin-Sheng Tang |
author_sort |
Yu-Wen Lin |
title |
A Novel Inspection Protocol to Detect Volatile Compounds in Breast Surgery Electrocautery Smoke |
title_short |
A Novel Inspection Protocol to Detect Volatile Compounds in Breast Surgery Electrocautery Smoke |
title_full |
A Novel Inspection Protocol to Detect Volatile Compounds in Breast Surgery Electrocautery Smoke |
title_fullStr |
A Novel Inspection Protocol to Detect Volatile Compounds in Breast Surgery Electrocautery Smoke |
title_full_unstemmed |
A Novel Inspection Protocol to Detect Volatile Compounds in Breast Surgery Electrocautery Smoke |
title_sort |
novel inspection protocol to detect volatile compounds in breast surgery electrocautery smoke |
publisher |
Elsevier |
series |
Journal of the Formosan Medical Association |
issn |
0929-6646 |
publishDate |
2010-07-01 |
description |
Electrocautery procedures generate malodorous smoke. This study quantified five volatile organic compounds detected in the smoke produced during breast surgery, and elucidated the factors that affect their chemical production.
Methods: All samplers were assembled in an acrylic chamber with a Tygon tube attached to the tip of a diathermy pencil. The electrocautery smoke was quantified by gas chromatography/mass spectrometry.
Results: In all samples, toluene was identified in concentrations of 2.48–5.50 mg/m3. Higher concentrations were observed during modified radical mastectomy procedures. Patients with high body mass index revealed high toluene concentrations. Longer duration of electrocautery tended to produce more toluene.
Conclusion: The sampling protocol enabled acquisition of smoke samples near the source without interrupting surgery. The findings suggest that type of surgery, patient body mass index and duration of electrocautery are factors that can alter production of chemicals. |
topic |
diathermy surgical plume volatile compounds |
url |
http://www.sciencedirect.com/science/article/pii/S092966461060085X |
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