Surgical smoke - what are the risks?

Key content Surgical smoke is generated by energy-based surgical instruments, and all staff and patients are potentially exposed to it in the operating theatre environment. The components of surgical smoke include water and chemicals, with potential bacterial and viral transmission also described. Surgical smoke inhalation has been associated with respiratory tract symptoms, as well as possible infective and carcinogenic risk. Existing guidance recommends appropriate personal protection and adequate ventilation as best practice against this occupational hazard. Learning objectives To identify the sources and components of surgical smoke. To raise awareness of the potential health risks associated with surgical smoke exposure. To educate in risk-reducing strategies and practices. Ethical issues Practitioners need to be made aware of the health risks associated with surgical smoke. Employers have a health and safety duty to provide safe systems of work. Occupational health hazards and their prevention should be a component of formal training.