This study was conducted to determine operating room workers' thoughts and personal well-being levels about surgical smoke exposure during the COVID-19 Pandemic. This descriptive study was conducted between May-June 2022. The research was completed with 82 operating room employees in a public hospital in Istanbul. Research data were collected using a questionnaire about sociodemographic characteristics, surgical smoke, and the Personal Well-Being Scale. Descriptive statistics were used in the analysis of the data. 89% of the individuals included in the study thought they were exposed to surgical smoke. Individuals exposed to surgical smoke; had a headache (45.1), cough (11%), burning in the throat (31.7%), eye irritation (56.1%), tearing (34.1) and respiratory problems (20.7%). Employees use surgical masks (74.4%), aspiration catheters (59.8%), gowns (74.4%), goggles (74.4%), filters (35.4), and filtration masks (6.1) to protect themselves from surgical smoke. In addition, it was determined that they wanted to receive education about surgical smoke (93.9%). It was determined that the mean score of the Personal Well-Being Scale was X̄ =41.76. In the pandemic process, it has been determined that the measures taken to prevent surgical smoke in operating rooms are insufficient, the employees experience many symptoms, and their well-being is low. Efforts should be made to reduce and possibly eliminate fumes from the operating room. Cost-effective forms of smoke extraction need to be investigated. There is also a need for studies on the sequelae of exposure to operating room smoke in personnel who have been exposed to operating room smoke for a long time.
1. Aktaş YY, Aksu D. Ameliyathane hemşirelerinin cerrahi dumana maruz kalma durumları ve korunmaya yönelik aldıkları önlemler. Balıkesir Sağlık Bil Derg. 2019;8(3):123-8.
2. Usta E, Aygin D, Bozdemir H, Uçar N. Ameliyathanelerde cerrahi dumanın etkileri ve korunmaya yönelik alınan önlemler. HSP. 2019;6(1):17-24.
3. Olgun Ş. Cerrahi duman, alınacak önlemler ve çalışan farkındalığı. J Aware. 2020;5(1):65-70.
4. York K, Autry M. Surgical smoke: Putting the pieces together to become smoke-free. AORN J. 2018;107(6):692-703.
5. Alcan AO, Giersbergen MY, Tanıl V, ve ark. Bir üniversite hastanesinde cerrahi duman riskleri ve koruyucu önlemlerin incelenmesi. Egehfd. 2017;33(2):27-35.
6. Fencl JL. Guideline implementation: surgical smoke safety. AORN J. 2017;105(5):488-97.
7. Cheng J, Niu X, Zhang R, Zhu X, Lu S, Zhou B, et al. Experimental study on influence of personnel activity and surgical smoke on indoor environment inside clean operating room. Int J Vent. 2020;20(1):50-64. doi:10.1080/14733315.2019.1704539
8. Giersbergen MY, Alcan AO, Kaymakci S, Ozsaker E, Dirimese E. Investigation of surgical smoke symptoms and preventive measures in Turkish operating rooms. Int J Health Sci Res. 2019;9(1):138-44.
9. Hahn KY, Kang DW, Azman ZAM, Kim SY, Kim SH. Removal of hazardous surgical smoke using a built in filter trocar: A study in laparoscopic rectal resection. Surg Laparosc Endosc Percutan Tech. 2017;27(5):341-5.
10. Ünver S, Yıldızeli Topçu S, Yıldız Fındık Ü. Surgical smoke, me and my circle. Int J Caring Sci. 2016;9(2):697-703.
11. OSHA. Laser/Electrosurgery Plume. Available from: https://www. osha.gov/SLTC/laserelectrosurgeryplume/index.html Erişim Tarihi:25 Nisan 2020.
12. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-33.
13. Leung NH, Chu DK, Shiu EY, Chan KH, McDevitt JJ, Hau BJ, et al. Respiratory virus shedding in exhaled breath and efficacy of face masks. Nat Med. 2020;26(5):676-80.
14. Magomedova UG, Khadartseva ZA, Grechko VV, Polivanova MN, Mishvelov AE, Povetkin SN, et al. The role of Covid-19 in the acute respiratory pathology formation in children. Pharmacophore. 2020;11(5):61-5.
15. Remizova AA, Dzgoeva MG, Tingaeva YI, Hubulov SA, Gutnov VM, Bitarov PA. Tissue dental status and features of periodontal microcirculation in patients with new covid-19 coronavirus infection. Pharmacophore. 2021;12(2):6-13.
16. Aadhith R, Devi PB. Passive Immunotherapeutic Approaches for Treating Covid-19: A Comprehensive Review. Int J Pharm Res Allied Sci. 2022;11(2):52-61.
17. Siegel JD, Rhinehart E, Jackson M, Chiarello L. 2007 guideline for isolation precautions: preventing transmission of infectious agents in health care settings. Am J Infect Control. 2007;35(10):S65-164.
18. Francis N, Dort J, Cho E, Feldman L, Keller D, Lim R, et al. SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic. Surg Endosc. 2020;34(6):2327-31.
19. Taweerutchana V, Suwatthanarak T, Methasate A, Akaraviputh T, Swangsri J, Phalanusitthepha C, et al. Laparoscopic surgery produced less surgical smoke and contamination comparing with open surgery: the pilot study in fresh cadaveric experiment in COVID-19 pandemic. BMC Surg. 2021;21(1):1-8.
20. Mowbray NG, Ansell J, Horwood J, Cornish J, Rizkallah P, Parker A, et al. Safe management of surgical smoke in the age of COVID-19. J Br Surg. 2020;107(11):1406-13.
21. Ilce A, Yuzden GE, Yavuz van Giersbergen M. The examination of problems experienced by nurses and doctors associated with exposure to surgical smoke and the necessary precautions. J Clin Nurs. 2017;26(11-12):1555-61.
22. Meral BF. Kişisel iyi oluş indeksi-yetişkin Türkçe formunun psikometrik özellikleri. J Happiness Well-Being. 2014;2(2):119-31.
23. Vaghef Davari F, Sharifi A. Transmission possibility of COVID-19 via surgical smoke generated by the use of laparoscopic approaches: A subject of debate during the pandemic. J Laparoendosc Adv Surg Tech. 2021;31(10):1106-13.
24. Can ÖS, Ökten F. Operasyon odasında çalışma riskleri. Türkiye Klinikleri Anestezi Reanimasyon Dergisi. 2004;2:103-12.
25. Öztin Öğün C, Çuhruk H. The effects of operating room conditions on the operating room personnel. Turkiye Klinikleri J Med Sci. 2001;21(2):83-93.
26. Carpenter H, Dawson JM. Evaluating perioperative nurses' health, safety, and wellness. Aorn J. 2017;105(3):P7-9.
27. Barrett WL, Garber SM. Surgical smoke: a review of the literature. Surg Endosc. 2003;17(6):979-87.
28. Mowbray N, Ansell J, Warren N, Wall P, Torkington J. Is surgical smoke harmful to theater staff? A systematic review. Surg Endosc. 2013;27(9):3100-7.
29. Joyce C. Surgical masks and exposure protection in the perioperative setting. AORN J. 2018;107(2):253-6.
30. Ulmer BC. The hazards of surgical smoke. AORN J. 2008;87(4):721-38.