BİR ÜNİVERSİTE HASTANESİNDE CERRAHİ DUMAN RİSKLERİ VE KORUYUCU ÖNLEMLERİN İNCELENMESİ

Yıl 2017, Cilt: 33 Sayı: 2, 27 - 35, 27.12.2017

Aliye Okgün Alcan , Meryem Yavuz Van Gıersbergen Vildan Tanıl Gülin Dinçarslan Ziynet Hepçivici Çiğdem Kurcan Emine Arıkan Tülin Dere

Öz

Başlık: BİR ÜNİVERSİTE HASTANESİNDE CERRAHİ DUMAN RİSKLERİ VE KORUYUCU ÖNLEMLERİN İNCELENMESİ

Title: INVESTIGATION OF SURGICAL SMOKE RISKS AND PREVENTIVE MEASURES IN AN UNIVERSITY HOSPITAL

Özet:

Amaç: Bu araştırmanın amacı bir üniversite hastanesinde cerrahi duman riskleri ve koruyucu önlemlerin incelenmesidir. .

Gereç ve Yöntem: Tanımlayıcı tipte olan bu araştırma,  23 Şubat – 23 Mart 2015 tarihleri arasında İzmir ilinde yer alan bir üniversite hastanesinin ameliyathanelerinde yürütüldü. Araştırmanın örneklemini 71 ameliyathane hemşiresi oluşturdu.

Bulgular ve Sonuç: Araştırma kapsamına alınan hemşirelerin %87.3'ünün (n:62) cerrahi dumana bağlı en az bir semptom yaşadıkları belirlendi. Cerrahi dumana maruz kalmaya bağlı hemşirelerin %71.8’inin (n:51) baş ağrısı, %63.4’ünün (n:45) bulantı ve %57.7’sinin (n:41) öksürükten yakındığı belirlendi. Bu çalışmada hemşirelerin %97.2’sinin (n:69) çalıştıkları ameliyathanelerde cerrahi dumandan korunmaya yönelik alınan önlemleri yetersiz olarak değerlendirdiği belirlendi. Bu araştırma sonucuna göre ameliyathanelerde cerrahi dumandan korunmaya yönelik girişimlerin yetersiz olduğu ve bunun sonucu olarak hemşirelerin semptomlar yaşadıkları saptandı. Ameliyathanelerde cerrahi dumandan korunmaya yönelik protokol oluşturulması ve gerekli önlemlerin alınması önerilmektedir.

Abstract:

Objective: The aim of this study was to investigate surgical smoke risks and preventive measures in an university hospital.

Methods:  This descriptive study was conducted between 23^rd February and 23^rd March 2015 at an university hospitals operating rooms in Izmir. The study sample as comprised 71 operating room nurses.

Results: It was determined that 87.3% (n: 62) of the nurses included in the survey had at least one symptom related to surgical smoke. It was found that the operating room nurses most suffer from headache (71.8%), nausea (63.4%) and coughing (57.7%) related with surgical smoke exposure. In this study, it was determined that 97.2% (n: 69) of the nurses evaluated the measures taken against surgical smoke prevention in the operating rooms which they work in as inadequate.

Conclusion: As a result it was found that preventive measures in the operating rooms are inadequate and as a consequence of this nurses have adverse symptoms.

Anahtar kelimeler:   Cerrahi duman, ameliyathane, hemşire

Keywords: Surgical smoke, operating room, nurse

Destekleyen kurumlar: Yoktur

Kaynakça:

1.       
Alp E, Bijl D,  Bleichrodt RP, Hansson B, Voss A. Surgical
Smoke and Infection Control. Journal of Hospital Infection 2006; 62(1): 1–5.

2.       
Ball Kay. Surgical Smoke Evacuation
Guidelines: Compliance Among Perioperative Nurses. AORN Journal 2010; 92: 2-23.

3.       
Barrett WL, Garber SM. Surgical Smoke—A
Review of the Literature. Is This Just a Lot of Hot Air? Surg Endosc 2003; 17:
979–987.

4.       
Benson SM, Novak DA, Ogg MJ. Proper Use
of Surgical N95 Respirators and Surgical Masks in the OR. AORN Journal 2013;
97(4): 458-467.

5.       
Bigony L. Risks Associated with Exposure
to Surgical Smoke Plume: A Review of the Literature. AORN Journal 2007; 86(6):
1013-1024.

6.       
Edwards BE, Reiman RE. Results of a
Survey on Current Surgical Smoke Control Practices. AORN Journal 2008; 87:
739–749.

7.       
Fan JKM, Fion SYC, Kent-Man C. Surgical Smoke. Asian J Surg 2009; 32(4): 253–257.

8.       
Ilce A, Yuzden
EG, Yavuz van Giersbergen M. The Examination of Problems Experienced by Nurses
and Doctors Associated with Exposure to Surgical Smoke and the Necessary
Precautions. Journal of Clinical Nursing 2017; 26: 1555-1561.

9.       
Mowbray N, Ansell J, Warren N, Wall
P,  Torkington J. Is Surgical Smoke
Harmful to Theater Staff? A Systematic Review. Surg Endosc 2013; 27: 3100–3107.

10.    
Occupational Safety & Health
Administration (OSHA 2017a). Laser/Electrosurgery Plume. Retrived July 3, 2017,
from https://www.osha.gov/SLTC/laserelectrosurgeryplume/.

11.    
Occupational Safety & Health
Administration (OSHA 2017b). Surgical Smoke. Retrieved July 3, 2017, from https://www.osha.gov/SLTC/etools/hospital/surgical/surgical.html#LaserPlume.

12.    
Spearman J, Tsavellas G, Nichols P.
Current Attitudes and Practices Towards Diathermy Smoke. Ann R Coll Surg Engl
2007; 89: 162-165.

13.    
The Association of periOperative
Registered Nurses (AORN 2013a). Recommended practices for electrosurgery. In:
Perioperative Standards and Recommended Practices. Denver, CO: AORN, Inc; 2013:
125-141.

14.    
The Association of periOperative
Registered Nurses (AORN 2013b). Recommended practices for laser safety in the
perioperative practice settings. In: Perioperative Standards and Recommended
Practices. Denver, CO: AORN, Inc;2013: 143-156.

15.    
Ulmer BC. The Hazards of Surgical Smoke.
AORN Journal 2008; 87(4): 721-738.

16.    
Ünver S, Topçu
SY, Fındık ÜY. Surgical Smoke, Me and My Circle. International Journal of
Caring Sciences 2016; 9(2): 697-703.

17.    
Watson DS. Surgical Smoke: What Do We
Know. Retrieved July 3, 2017,
http://www.enfermeraspabellonyesterilizacion.cl/trabajos/Surgical%20Smoke%20Plume.pdf.

18.    
Yavuz M,
Kaymakçı Ş, Özşaker E, Dirimeşe E, Okgün Alcan A. Ameliyathanelerde Güvenli
Cerrahi, Duman ve Yangın Konusundaki Uygulamaların İncelenmesi. Ege
Üniversitesi Bilimsel Araştırma Proje Kesin Raporu. İzmir 2013; Proje No:
2010-HYO-006.

19.    
Yavuz
M, Kaymakçı Ş, Özşaker E, Dirimeşe E, Okgün Alcan A. Investigation of surgical
smoke risks and preventive measures in turkish operating rooms. In: 7th EORNA
Congress Abstract Book. 44-46.

20.    
Yavuz van Giersbergen M. Cerrahi Duman.
İçinde: Ameliyathane Hemşireliği. Editörler: Yavuz van Giersbergen M, Kaymakçı
Ş. 1. Baskı, İzmir 2015. 245-252.

Anahtar Kelimeler

Cerrahi duman, ameliyathane, hemşire

Kaynakça

• Alp E, Bijl D, Bleichrodt RP, Hansson B, Voss A. Surgical Smoke and Infection Control. Journal of Hospital Infection 2006; 62(1): 1–5.
• Ball Kay. Surgical Smoke Evacuation Guidelines: Compliance Among Perioperative Nurses. AORN Journal 2010; 92: 2-23.
• Barrett WL, Garber SM. Surgical Smoke—A Review of the Literature. Is This Just a Lot of Hot Air? Surg Endosc 2003; 17: 979–987.
• Benson SM, Novak DA, Ogg MJ. Proper Use of Surgical N95 Respirators and Surgical Masks in the OR. AORN Journal 2013; 97(4): 458-467.
• Bigony L. Risks Associated with Exposure to Surgical Smoke Plume: A Review of the Literature. AORN Journal 2007; 86(6): 1013-1024.
• Edwards BE, Reiman RE. Results of a Survey on Current Surgical Smoke Control Practices. AORN Journal 2008; 87: 739–749.
• Fan JKM, Fion SYC, Kent-Man C. Surgical Smoke. Asian J Surg 2009; 32(4): 253–257.
• Ilce A, Yuzden EG, Yavuz van Giersbergen M. The Examination of Problems Experienced by Nurses and Doctors Associated with Exposure to Surgical Smoke and the Necessary Precautions. Journal of Clinical Nursing 2017; 26: 1555-1561.
• Mowbray N, Ansell J, Warren N, Wall P, Torkington J. Is Surgical Smoke Harmful to Theater Staff? A Systematic Review. Surg Endosc 2013; 27: 3100–3107.
• Occupational Safety & Health Administration (OSHA 2017a). Laser/Electrosurgery Plume. Retrived July 3, 2017, from https://www.osha.gov/SLTC/laserelectrosurgeryplume/.
• Occupational Safety & Health Administration (OSHA 2017b). Surgical Smoke. Retrieved July 3, 2017, from https://www.osha.gov/SLTC/etools/hospital/surgical/surgical.html#LaserPlume.
• Spearman J, Tsavellas G, Nichols P. Current Attitudes and Practices Towards Diathermy Smoke. Ann R Coll Surg Engl 2007; 89: 162-165.
• The Association of periOperative Registered Nurses (AORN 2013a). Recommended practices for electrosurgery. In: Perioperative Standards and Recommended Practices. Denver, CO: AORN, Inc; 2013: 125-141.
• The Association of periOperative Registered Nurses (AORN 2013b). Recommended practices for laser safety in the perioperative practice settings. In: Perioperative Standards and Recommended Practices. Denver, CO: AORN, Inc;2013: 143-156.
• Ulmer BC. The Hazards of Surgical Smoke. AORN Journal 2008; 87(4): 721-738.
• Ünver S, Topçu SY, Fındık ÜY. Surgical Smoke, Me and My Circle. International Journal of Caring Sciences 2016; 9(2): 697-703.
• Watson DS. Surgical Smoke: What Do We Know. Retrieved July 3, 2017, http://www.enfermeraspabellonyesterilizacion.cl/trabajos/Surgical%20Smoke%20Plume.pdf.
• Yavuz M, Kaymakçı Ş, Özşaker E, Dirimeşe E, Okgün Alcan A. Ameliyathanelerde Güvenli Cerrahi, Duman ve Yangın Konusundaki Uygulamaların İncelenmesi. Ege Üniversitesi Bilimsel Araştırma Proje Kesin Raporu. İzmir 2013; Proje No: 2010-HYO-006.
• Yavuz M, Kaymakçı Ş, Özşaker E, Dirimeşe E, Okgün Alcan A. Investigation of surgical smoke risks and preventive measures in Turkish operating rooms. In: 7th EORNA Congress Abstract Book. 44-46.
• Yavuz van Giersbergen M. Cerrahi Duman. İçinde: Ameliyathane Hemşireliği. Editörler: Yavuz van Giersbergen M, Kaymakçı Ş. 1. Baskı, İzmir 2015. 245-252.