Exposure assessment of particulate and gaseous pollutants emitted during surgery in operating rooms of different specialties

Tzu Ting Yang; Kai Jen Chuang; Nai Yun Chang; Chih Hong Pan; Wei Hang Liao; Chien Chieh Liao; Yang Hwei Tsuang; Hsiao Yun Wen; Ta Chih Hsiao; Hsiao Chi Chuang

doi:10.1007/s11869-018-0597-x

Exposure assessment of particulate and gaseous pollutants emitted during surgery in operating rooms of different specialties

Tzu Ting Yang, Kai Jen Chuang, Nai Yun Chang, Chih Hong Pan, Wei Hang Liao, Chien Chieh Liao, Yang Hwei Tsuang, Hsiao Yun Wen, Ta Chih Hsiao, Hsiao Chi Chuang

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

The objective of this study was to identify hazards that occur due to surgical practices and assess exposure to surgical smoke. We investigated nine surgical specialties in their corresponding operating rooms (ORs) for on-line measurements of pollutants and off-line determination of PAHs. Surgery for the face and dentistry generated the smallest particle size with a GMD of 23.3 nm. Also, the highest levels of the lung deposition surface area (5.8 ± 6.8 μm²/cm³), particulate matter of < 10 μm (PM₁₀; 6.46 ± 5.34 μg/m³), PM_2.5 (1.82 ± 1.01 μg/m³), and black carbon (0.10 ± 0.05 μg/m³) were seen with surgery of the face and dentistry. For gaseous pollutants, we observed that gastroenterology had the highest levels of CO₂ (869 ± 112 ppm) and total volatile organic compounds (3.70 ± 1.00 ppm) compared to the other operating rooms. Levels of CO (3.40 ± 1.20 ppm) and formaldehyde (0.90 ± 0.51 ppm) were highest in the urology OR. Average total PAHs were mainly present in the gaseous phase with the highest concentrations of 746.6~1045.8 ng/m³ for gynecology. Our results showed that most pollutant levels were relatively low. However, gaseous PAHs emitted from surgical practices can reach levels that may pose important cancer risks in terms of occupational health.

Original language	English
Pages (from-to)	937-947
Number of pages	11
Journal	Air Quality, Atmosphere and Health
Volume	11
Issue number	8
DOIs	https://doi.org/10.1007/s11869-018-0597-x
Publication status	Published - Oct 1 2018

Keywords

Formaldehyde
Particulate matter
Polycyclic aromatic hydrocarbons
Surgical smoke
Volatile organic compounds

ASJC Scopus subject areas

Pollution
Atmospheric Science
Management, Monitoring, Policy and Law
Health, Toxicology and Mutagenesis

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s11869-018-0597-x

Cite this

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title = "Exposure assessment of particulate and gaseous pollutants emitted during surgery in operating rooms of different specialties",

abstract = "The objective of this study was to identify hazards that occur due to surgical practices and assess exposure to surgical smoke. We investigated nine surgical specialties in their corresponding operating rooms (ORs) for on-line measurements of pollutants and off-line determination of PAHs. Surgery for the face and dentistry generated the smallest particle size with a GMD of 23.3 nm. Also, the highest levels of the lung deposition surface area (5.8 ± 6.8 μm2/cm3), particulate matter of < 10 μm (PM10; 6.46 ± 5.34 μg/m3), PM2.5 (1.82 ± 1.01 μg/m3), and black carbon (0.10 ± 0.05 μg/m3) were seen with surgery of the face and dentistry. For gaseous pollutants, we observed that gastroenterology had the highest levels of CO2 (869 ± 112 ppm) and total volatile organic compounds (3.70 ± 1.00 ppm) compared to the other operating rooms. Levels of CO (3.40 ± 1.20 ppm) and formaldehyde (0.90 ± 0.51 ppm) were highest in the urology OR. Average total PAHs were mainly present in the gaseous phase with the highest concentrations of 746.6~1045.8 ng/m3 for gynecology. Our results showed that most pollutant levels were relatively low. However, gaseous PAHs emitted from surgical practices can reach levels that may pose important cancer risks in terms of occupational health.",

keywords = "Formaldehyde, Particulate matter, Polycyclic aromatic hydrocarbons, Surgical smoke, Volatile organic compounds",

author = "Yang, {Tzu Ting} and Chuang, {Kai Jen} and Chang, {Nai Yun} and Pan, {Chih Hong} and Liao, {Wei Hang} and Liao, {Chien Chieh} and Tsuang, {Yang Hwei} and Wen, {Hsiao Yun} and Hsiao, {Ta Chih} and Chuang, {Hsiao Chi}",

note = "Funding Information: Funding This study was founded by the Institute of Labor, Occupational Safety and Health, Ministry of Labor, Taiwan (IOSH105-A304). Publisher Copyright: {\textcopyright} 2018, Springer Nature B.V. Copyright: Copyright 2018 Elsevier B.V., All rights reserved.",

year = "2018",

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doi = "10.1007/s11869-018-0597-x",

language = "English",

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T1 - Exposure assessment of particulate and gaseous pollutants emitted during surgery in operating rooms of different specialties

AU - Yang, Tzu Ting

AU - Chuang, Kai Jen

AU - Chang, Nai Yun

AU - Pan, Chih Hong

AU - Liao, Wei Hang

AU - Liao, Chien Chieh

AU - Tsuang, Yang Hwei

AU - Wen, Hsiao Yun

AU - Hsiao, Ta Chih

AU - Chuang, Hsiao Chi

N1 - Funding Information: Funding This study was founded by the Institute of Labor, Occupational Safety and Health, Ministry of Labor, Taiwan (IOSH105-A304). Publisher Copyright: © 2018, Springer Nature B.V. Copyright: Copyright 2018 Elsevier B.V., All rights reserved.

PY - 2018/10/1

Y1 - 2018/10/1

N2 - The objective of this study was to identify hazards that occur due to surgical practices and assess exposure to surgical smoke. We investigated nine surgical specialties in their corresponding operating rooms (ORs) for on-line measurements of pollutants and off-line determination of PAHs. Surgery for the face and dentistry generated the smallest particle size with a GMD of 23.3 nm. Also, the highest levels of the lung deposition surface area (5.8 ± 6.8 μm2/cm3), particulate matter of < 10 μm (PM10; 6.46 ± 5.34 μg/m3), PM2.5 (1.82 ± 1.01 μg/m3), and black carbon (0.10 ± 0.05 μg/m3) were seen with surgery of the face and dentistry. For gaseous pollutants, we observed that gastroenterology had the highest levels of CO2 (869 ± 112 ppm) and total volatile organic compounds (3.70 ± 1.00 ppm) compared to the other operating rooms. Levels of CO (3.40 ± 1.20 ppm) and formaldehyde (0.90 ± 0.51 ppm) were highest in the urology OR. Average total PAHs were mainly present in the gaseous phase with the highest concentrations of 746.6~1045.8 ng/m3 for gynecology. Our results showed that most pollutant levels were relatively low. However, gaseous PAHs emitted from surgical practices can reach levels that may pose important cancer risks in terms of occupational health.

AB - The objective of this study was to identify hazards that occur due to surgical practices and assess exposure to surgical smoke. We investigated nine surgical specialties in their corresponding operating rooms (ORs) for on-line measurements of pollutants and off-line determination of PAHs. Surgery for the face and dentistry generated the smallest particle size with a GMD of 23.3 nm. Also, the highest levels of the lung deposition surface area (5.8 ± 6.8 μm2/cm3), particulate matter of < 10 μm (PM10; 6.46 ± 5.34 μg/m3), PM2.5 (1.82 ± 1.01 μg/m3), and black carbon (0.10 ± 0.05 μg/m3) were seen with surgery of the face and dentistry. For gaseous pollutants, we observed that gastroenterology had the highest levels of CO2 (869 ± 112 ppm) and total volatile organic compounds (3.70 ± 1.00 ppm) compared to the other operating rooms. Levels of CO (3.40 ± 1.20 ppm) and formaldehyde (0.90 ± 0.51 ppm) were highest in the urology OR. Average total PAHs were mainly present in the gaseous phase with the highest concentrations of 746.6~1045.8 ng/m3 for gynecology. Our results showed that most pollutant levels were relatively low. However, gaseous PAHs emitted from surgical practices can reach levels that may pose important cancer risks in terms of occupational health.

KW - Formaldehyde

KW - Particulate matter

KW - Polycyclic aromatic hydrocarbons

KW - Surgical smoke

KW - Volatile organic compounds

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SN - 1873-9318

VL - 11

SP - 937

EP - 947

JO - Air Quality, Atmosphere and Health

JF - Air Quality, Atmosphere and Health

IS - 8

ER -

Exposure assessment of particulate and gaseous pollutants emitted during surgery in operating rooms of different specialties

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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