Bahaya Paparan Asap Bedah

Oleh :

dr. Sonny Seputra, Sp.B, M.Ked.Klin, FINACS

Paparan asap bedah dapat mengakibatkan efek buruk bagi kesehatan karena partikel–partikel yang terkandung di dalamnya. Saat operasi, sering digunakan instrumen diatermi, seperti elektrokauter, laser, dan scalpel ultrasonik.

Asap bedah dilepaskan ke lingkungan sekitar ketika instrumen–instrumen tersebut digunakan. Proses pelepasan asap ini terjadi pada operasi terbuka maupun operasi laparoskopi.[1]

Meskipun telah ada alat untuk mengevakuasi asap bedah, dalam praktiknya alat tersebut sering tidak digunakan karena tidak nyaman dan kurangnya kesadaran. Sebuah penelitian yang dilakukan oleh Steege et al melaporkan bahwa hanya 14% dari responden personel ruang operasi yang mengaku menggunakan ventilasi pembuangan lokal selama operasi yang menghasilkan asap bedah.[2]

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Referensi

1. Limchantra, I. V., Fong, Y., & Melstrom, K. A. Surgical Smoke Exposure in Operating Room Personnel: A Review. JAMA Surgery 2019 Aug 21.
2. Steege AL, Boiano JM, Sweeney MH. Secondhand smoke in the operating room? precautionary practices lacking for surgical smoke. Am J Ind Med. 2016;59(11):1020-1031.
3. Ulmer BC. The hazards of surgical smoke. AORN J. 2008;87(4):721-734.
4. Fencl JL. Guideline implementation: surgical smoke safety. AORN J. 2017;105(5):488-497
5. Butler D. Health Risks of Indoor Exposure to Particulate Matter: Workshop Summary. Washington, DC: National Academies Press; 2016.
6. US Food and Drug Administration. Masks and N95 Respirators. FDA, 2018. https://www.fda.gov/medicaldevices/productsandmedicalprocedures/generalhospitaldevicesandsupplies/personalprotectiveequipment/ucm055977.htm.
7. Al Sahaf OS, Vega-Carrascal I, Cunningham FO, McGrath JP, Bloomfield FJ. Chemical composition of smoke produced by high-frequency electrosurgery. Ir J Med Sci. 2007;176(3):229-232
8. da Silva RD, Sehrt D, Molina WR, Moss J, Park SH, Kim FJ. Significance of surgical plume obstruction during laparoscopy. JSLS. 2014 Jul-Sep;18(3):e2014.00269. doi: 10.4293/JSLS.2014.00269. PMID: 25419108; PMCID: PMC4236080.
9. Sanderson C. Surgical smoke.J Perioper Pract. 2012;22(4):122-128.
10. Okoshi K, Kobayashi K, Kinoshita K, Tomizawa Y, Hasegawa S, Sakai Y. Health risks associated with exposure to surgical smoke for surgeons and operation room personnel. Surg Today. 2015;45(8): 957-965.
11. Weld KJ, Dryer S, Ames CD, et al. Analysis of surgical smoke produced by various energy-based instruments and effect on laparoscopic visibility. J Endourol. 2007;21(3):347-351.
12. Tseng H-S, Liu S-P, Uang S-N, et al. Cancer risk of incremental exposure to polycyclic aromatic hydrocarbons in electrocautery smoke for mastectomy personnel. World J Surg Oncol. 2014; 12:31.
13. Gates MA, Feskanich D, Speizer FE, Hankinson SE. Operating room nursing and lung cancer risk in a cohort of female registered nurses. Scand J Work Environ Health. 2007;33(2):140-147
14. Heroor AA, Asaf BB, Deo SSV, Lau EH, Mok CW, DiPasco PJ, Jain P, Anand U. Occupational Hazards of Surgical Smoke and Achieving a Smoke Free Operating Room Environment: Asia-Pacific Consensus Statement on Practice Recommendations. Front Public Health. 2022 May 26;10:899171. doi: 10.3389/fpubh.2022.899171. PMID: 35692344; PMCID: PMC9178078.
15. Ulmer BC. The hazards of surgical smoke. AORN J. 2008;87(4):721-734
16. Maroto M. Filtration Efficiency of Intermediate Ventilation Air Filters on Ultrafine and Submicron Particles. Goteborg, Sweden: Chalmers University of Technology; 2011.
17. Kawada Y, Shimizu H. Reduction of suspended particles in closed space with electrostatic precipitator. Electron Commun Jpn. 2017;100(9):32- 40
18. Poppendieck DG, Rim D, Persily AK. Ultrafine particle removal and ozone generation by in-duct electrostatic precipitators. Environ Sci Technol. 2014;48(3):2067-2074