手術煙霧安全

Surgical Smoke Safety

10.6142/VGHN.202212_39(4).0002

李榮芬(Jung-Fen Lee)；洪曉佩(Shiao-Pei Hung)；明金蓮(Jin-Lain Ming)

手術煙霧 ； 安全 ； 排煙設備 ； 個人防護裝備 ； surgical smoke ； safety ； fume extraction equipment ； personal protective equipment

榮總護理

39卷4期（2022 / 12 / 01）

347 - 352

繁體中文

手術煙霧是因為手術中使用雷射、手術電（燒）刀、電頻設施、超音波刀儀器、電鑽或氣動工具等設備，瓦解組織或破壞細胞時所產生的煙霧，其成分包含細菌或病毒及潛在有害物質，吸入後可能會增加呼吸道相關疾病風險。因長期暴露於手術室環境中，這些煙霧已被證明對手術全期團隊成員健康構成嚴重威脅。手術全期工作人員應穿戴適當的個人防護用品及使用排煙設備，以避免手術煙霧帶來的職業傷害，期望能藉由本文幫助手術全期團隊促進無煙工作環境，並制定教育訓練計劃和監測制度；並讓醫院的管理者參考制定相關政策和品質改進計劃，維護病人安全，更保護手術全期團隊成員免受職業傷害。

Surgical instruments used to disintegrate tissues or destroy cells, including lasers, electrocautery devices, electrical devices, ultrasonic scalpels, and drills or power instruments, produce surgical smoke. Such smoke contains potentially harmful substances that increase the risk of respiratory and lung diseases. The smoke can also contain bacteria or viruses that may cause disease transmission after inhalation. Perioperative staff are vulnerable to the harmful effects of surgical smoke owing to their prolonged exposure to the operating room environment. Accordingly, perioperative staff should wear appropriate personal protective equipment and use smoke evacuation equipment to avoid occupational injuries caused by surgical smoke. The aim of this article is to present information that can facilitate the development of training plans and monitoring systems to help perioperative teams promote a smoke-free work environment; the article is also aimed at providing information that can enable hospital managers to formulate policies and quality improvement plans to maintain patient safety and protect perioperative staff from occupational injuries in the work environment.

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