Coronavirus disease 2019 pandemic and identifying insufflators with desufflation mode and surgical smoke evacuators for safe CO2 removal

© 2020 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd..

INTRODUCTION: Given the propensity of severe acute respiratory syndrome coronavirus 2 to spread, it is imperative that those continuing to perform surgery take precautions to limit the potential generation of contaminated aerosols in smoke from energy-based instruments. The aim of this study was to report current data regarding insufflators with desufflation mode and similar options to safely remove CO2 in minimal access surgery.

METHODS: A non-systematic review of the scientific literature was conducted using the PubMed database, and the main companies that provide surgical devices were contacted for information.

RESULTS: Most commercially available smoke evacuators use a combination of suction and mechanical filtering. There are also electrostatic precipitators that charge surgical smoke and retain the particles via electrostatic attraction. The search identified three insufflators with desufflation mode, four modular smoke evacuators using mechanical filtration, and only one device using electrostatic precipitation. However, none of these devices has been tested with viruses.

CONCLUSION: This review identified commercially available equipment that employs mechanical filtering and electrostatic attraction principles that can be used for pneumoperitoneum evacuation during the present coronavirus disease 2019 pandemic. This pandemic should assist in raising awareness regarding protection measures and the risk of occupational exposure in surgery.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Asian journal of endoscopic surgery - 14(2021), 2 vom: 07. Apr., Seite 165-169

Sprache:

Englisch

Beteiligte Personen:

da Costa, Karina M [VerfasserIn]
Saxena, Amulya K [VerfasserIn]

Links:

Volltext

Themen:

142M471B3J
COVID-19
Carbon Dioxide
Filtration
Journal Article
Laparoscopy
Review
Smoke

Anmerkungen:

Date Completed 13.04.2021

Date Revised 13.04.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/ases.12834

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312915284