Shahid Beheshti University of Medical Sciences
  • Register
  • Login

Journal of Lasers in Medical Sciences

  • Home
  • Issues
    • Current Issue
    • Archives
  • Journal Info
    • About the Journal
    • Editorial Team
    • Indexing/Abstracting
    • Contact Us
  • Author Guideline
    • Submission Guide
    • Author Statement Form
    • Peer Review Process
    • Publication Fee
  • Ethics & Policies
    • Ethical Requirements
    • Archiving
    • Authorship Rules
    • Withdrawal Regulations
    • Retraction Considerations
    • Privacy Statement
    • Licensing
    • Copyright Terms
  • Reviewer Guideline
  • New Submission
Advanced Search
  1. Home
  2. Archives
  3. Vol. 13 (2022): Continues Volume
  4. Original Article

Vol. 13 (2022)

Dey 2022

Laser-Induced Smoke in Dermatologic Practice: A Survey to Explore Hazard Perceptions, Safety Measures and Unmet Needs Laser-Induced Smoke Study

  • Frederike Fransen
  • Marjolein Hiel
  • Firas Al-Niaimi
  • Ashraf Badawi
  • Merete Haedersdal
  • Hans-Joachim Laubach
  • Johan Snauwaert
  • Albert Wolkerstorfer

Journal of Lasers in Medical Sciences, Vol. 13 (2022), 10 Dey 2022 , Page e63
Published: 2022-12-11

  • View Article
  • Download
  • Cite
  • References
  • Statastics
  • Share

Abstract

Introduction: Inhalation of laser-induced smoke is a potential health hazard to exposed physicians and laser operators. To date, little is known about the perception of health hazards related to laser-induced smoke exposure among physicians and the actual use of safety measures to mitigate these risks.
Methods: In May 2020, 514 members of the European Society for Lasers and Energy-Based Devices (ESLD) were invited by email to participate in an online survey. The survey comprised 16 questions including multiple-choice and open-ended questions.
Results: Responses were received from 109 participants. The majority (90%) were aware of potential hazards and highlighted a desire for better protective measures (60%). A smoke evacuation system was frequently used with ablative lasers (66%) and fractional ablative lasers (61%), but less the case with non-ablative lasers (30%) and hair removal lasers (28%). The COVID-19 outbreak had no clear effect on the use of smoke evacuation systems. Prior to the COVID-19 outbreak, mainly surgical masks were used (40-57%), while high filtration masks (FFP1, FFP2 or FFP3) were used by only a small percentage (15-30%). The post-COVID-19 outbreak, the use of high filtration masks increased significantly (54-66%), predominately due to an increase in the use of FFP2 masks. Reasons mentioned for inadequate protective measures were sparse knowledge, limited availability, discomfort, excessive noise, high room temperatures, and financial costs.
Conclusion: While there is considerable awareness of the hazards of laser-induced smoke among physicians and laser operators, a substantial number of them do not use appropriate protective measures. The implementation of regulations on safety measures is hampered by sparse knowledge, limited availability, discomfort, excessive noise, financial issues, and high room temperatures

Keywords:
  • Laser-induced smoke; Surgical smoke; Health hazards; Protective measures
  • PDF
  • Supplement

How to Cite

Fransen , F. ., Hiel, M., Al-Niaimi, F. ., Badawi, . A. ., Haedersdal, M. ., Laubach, H.-J. ., … Wolkerstorfer , A. . . . . . . . . . (2022). Laser-Induced Smoke in Dermatologic Practice: A Survey to Explore Hazard Perceptions, Safety Measures and Unmet Needs : Laser-Induced Smoke Study. Journal of Lasers in Medical Sciences, 13, e63. Retrieved from https://journals.sbmu.ac.ir/jlms/article/view/39109
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

References

1. Lewin, J. M., Brauer, J. A. & Ostad, A. Surgical smoke and the dermatologist. Journal of the American Academy of Dermatology (2011) doi:10.1016/j.jaad.2010.11.017.
2. Oganesyan, G., Eimpunth, S., Kim, S. S. & Jiang, S. I. B. Surgical smoke in dermatologic surgery. Dermatologic Surg. (2014) doi:10.1097/DSS.0000000000000221.
3. Liu, Y., Song, Y., Hu, X., Yan, L. & Zhu, X. Awareness of surgical smoke hazards and enhancement of surgical smoke prevention among the gynecologists. Journal of Cancer (2019) doi:10.7150/jca.31464.
4. Chuang, G. S. et al. Gaseous and particulate content of laser hair removal plume. JAMA Dermatology (2016) doi:10.1001/jamadermatol.2016.2097.
5. de Boorder, T., Verdaasdonk, R. & Klaessens, J. The visualization of surgical smoke produced by energy delivery devices: significance and effectiveness of evacuation systems. Therm. Treat. Tissue Energy Deliv. Assess. IV 6440, 64400R (2007).
6. Stahl, C. et al. Comparison of the Filtration Efficiency of Different Face Masks Against Aerosols. Front. Med. 8, 1–5 (2021).
7. Bree, K., Barnhill, S. & Rundell, W. The Dangers of Electrosurgical Smoke to Operating Room Personnel: A Review. Work. Heal. Saf. 65, 517–526 (2017).
8. Hensman, C., Baty, D., Willis, R. G. & Cuschieri, A. Chemical composition of smoke produced by high-frequency electrosurgery in a closed gaseous environment: An in vitro study. Surg. Endosc. (1998) doi:10.1007/s004649900771.
9. R., T., Y., L., B.J., C. & J.W., T. Recognition of aerosol transmission of infectious agents: A commentary. BMC Infect. Dis. (2019).
10. Golda, N., Merrill, B. & Neill, B. Intraoperative electrosurgical smoke during outpatient surgery: a survey of dermatologic surgeon and staff preferences. Cutis (2019).
11. Bigony, L. Risks Associated with Exposure to Surgical Smoke Plume: A Review of the Literature. AORN J. (2007) doi:10.1016/j.aorn.2007.07.005.
12. Tseng, H. S. et al. Cancer risk of incremental exposure to polycyclic aromatic hydrocarbons in electrocautery smoke for mastectomy personnel. World J. Surg. Oncol. (2014) doi:10.1186/1477-7819-12-31.
13. Limchantra, I. V., Fong, Y. & Melstrom, K. A. Surgical Smoke Exposure in Operating Room Personnel: A Review. JAMA Surgery (2019) doi:10.1001/jamasurg.2019.2515.
14. Chiang, Y. Z., Al-Niaimi, F., Ferguson, J., August, P. J. & Madan, V. Carbon dioxide laser treatment of cutaneous neurofibromas. Dermatol. Ther. (Heidelb). 2, 1–6 (2012).
15. Mowbray, N. G. et al. Safe management of surgical smoke in the age of COVID-19. British Journal of Surgery (2020) doi:10.1002/bjs.11679.
16. Emadi, S. N. & Abtahi-Naeini, B. Coronavirus Disease 2019 (COVID-19) and dermatologists: Potential biological hazards of laser surgery in epidemic area. Ecotoxicology and Environmental Safety (2020) doi:10.1016/j.ecoenv.2020.110598.
17. Ball, K. Compliance with surgical smoke evacuation guidelines: Implications for practice. AORN J. (2010) doi:10.1016/j.aorn.2010.06.002.
18. Edwards, B. E. & Reiman, R. E. Comparison of Current and Past Surgical Smoke Control Practices. AORN J. (2012) doi:10.1016/j.aorn.2011.07.019.
19. Michaelis, M., Hofmann, F. M., Nienhaus, A. & Eickmann, U. Surgical smoke—hazard perceptions and protective measures in german operating rooms. Int. J. Environ. Res. Public Health 17, (2020).
20. Chapman, L. W., Korta, D. Z., Lee, P. K. & Linden, K. G. Awareness of surgical smoke risks and assessment of safety practices during electrosurgery among us dermatology residents. JAMA Dermatology (2017) doi:10.1001/jamadermatol.2016.5899.
21. Searle, T., Ali, F. R. & Al-Niaimi, F. Surgical plume in dermatology: an insidious and often overlooked hazard. Clinical and Experimental Dermatology (2020) doi:10.1111/ced.14350.
22. Hirschmann, M. T. et al. COVID-19 coronavirus: recommended personal protective equipment for the orthopaedic and trauma surgeon. Knee Surgery, Sport. Traumatol. Arthrosc. (2020) doi:10.1007/s00167-020-06022-4.
23. Eshleman, E. J. et al. Occupational exposures and determinants of ultrafine particle concentrations during laser hair removal procedures. Environ. Heal. A Glob. Access Sci. Source (2017) doi:10.1186/s12940-017-0239-z.
24. de Boer, A. J. A. & Fransen, F. Ultrafine particle concentrations during laser hair removal: Effectiveness of smoke evacuators. Lasers Surg. Med.(2021)
doi: 10.1002/lsm.23465.
25. Li, K. K. W., Joussen, A. M., Kwan, J. K. C. & Steel, D. H. W. FFP3, FFP2, N95, surgical masks and respirators: what should we be wearing for ophthalmic surgery in the COVID-19 pandemic? Graefe’s Archive for Clinical and Experimental Ophthalmology (2020) doi:10.1007/s00417-020-04751-3.
26. Wizner, K., Nasarwanji, M., Fisher, E., Steege, A. L. & Boiano, J. M. Exploring respiratory protection practices for prominent hazards in healthcare settings. J. Occup. Environ. Hyg. (2018) doi:10.1080/15459624.2018.1473581.
27. Edwards, B. E. & Reiman, R. E. Results of a Survey on Current Surgical Smoke Control Practices. AORN J. (2008) doi:10.1016/j.aorn.2007.11.001.
28. Ahmad, M., Mohmand, M. H. & Ahmad, T. A Survey among Plastic Surgeons Wearing a Mask in Operating Room. WORLD J. Plast. Surg. (2019) doi:10.29252/wjps.8.1.93.
  • Abstract Viewed: 446 times
  • PDF Downloaded: 402 times
  • Supplement Downloaded: 52 times

Download Statastics

  • Linkedin
  • Twitter
  • Facebook
  • Google Plus
  • Telegram

Make a Submission

Make a Submission

Information

  • For Readers
  • For Authors
  • For Librarians

Developed By

Open Journal Systems
  • Home
  • Archives
  • Submissions
  • About the Journal
  • Editorial Team
  • Contact

Iranian Medical Laser Association 

                                        

 

This journal is distributed under the terms of CC BY-NC 4.0.
Design and publishing by SBMU journals. All credits and honors to PKP for their OJS. 

Powered by OJSPlus