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2020 ; 20
(ä): 297-300
Nephropedia Template TP
gab.com Text
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It is time for a more cautious approach to surgical diathermy, especially in
COVID-19 outbreak: A schematic review
#MMPMID32425415
Karuppal R
; Surendran S
; Patinharayil G
; Muhammed Fazil VV
; Marthya A
J Orthop
2020[Jul]; 20
(ä): 297-300
PMID32425415
show ga
BACKGROUND: Many surgeons are unaware of the risks posed by the surgical
diathermy. Apart from the numerous chemicals, surgical smoke had been shown to
harbour intact bacterial and virus particles especially COVID-19 in the current
time. OBJECTIVE: To identify the inhalational, infectious, chemical, and
mutagenic risks of surgical smoke and suggest evidence-based hazard reduction
strategies. Also to cogitate on the very high risk of viral spread by the use of
surgical diathermy in COVID-19 outbreak. METHODS: A review of articles indexed
for MEDLINE on PubMed using the keywords surgical smoke, diathermy,
electrocautery, surgical smoke hazards, smoke evacuator, and guidelines for
surgical smoke safety was performed. The review included evidences from 50
articles from the dermatology, surgery, infectious disease, obstetrics, and
cancer biology literature. RESULTS: There are risks associated with surgical
smoke. Although some surgeons were aware, majority were not keen in the hazard
reduction strategies. CONCLUSION: Many chemical and biological particles have
been found in surgical smoke. It is highly recommended to follow the standardised
guidelines for surgical smoke safety. Surgical smoke carries full virus
particle(such as COVID-19 virus), it is strongly recommended to minimise or avoid
electrocautery during the COVID-19 outbreak.