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Surgical Smoke
Surgical Smoke
Surgical smoke or plume is the gaseous byproduct produced by the destruction of human
tissue by electrosurgery or other procedures.178 It is estimated that a Mohs surgeon who performs 1000 cases per year receives approximately 50 hours of continuous smoke exposure per year.179 Surgical smoke and plume generated by electrosurgery and lasers have been demonstrated to harbor live viruses and bacteria in addition to hazardous chemicals. As a result, the potential exists for infection, carcinogenesis, and pulmonary damage from surgical smoke exposure.180 Surgeonsโ exposure to smoke is more concentrated than for other perioperative personnel because they are closest to the tissue destruction. The use of standard surgical masks offers little to no protection against inhalation of surgical smoke. The best protection for surgical personnel is the use of smoke evacuator units during electrosurgery. Integrated cautery and smoke evacuator units are convenient and easy to use, decrease the need for extra staff, and improve patient comfort by aiding in the removal of unpleasant odor of surgical smoke.