Clearing the air on surgical smoke: Why National Health Service trusts must act

Abstract

Keywords

Infection control Diathermy Laser therapy Occupational exposure Operating theatre Smoke Evidence-based practice

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References

Association of periOperative Registered Nurses 2025 National map of current surgical smoke evacuation laws and legislation [online] Available from: https://www.aorn.org/get-involved/government-affairs/policy-agenda/surgical-smoke-free-or/smoke-bills [Accessed August 2025]

Control of Substances to Hazardous to Health Regulations 2002 [online] Available from: https://www.legislation.gov.uk/uksi/2002/2677/regulation/7 [Accessed October 2025]

Gioutsos

Nguyen

Biber

, et al 2022

Surgical smoke: modern mobile smoke evacuation systems improve occupational safety in the operating theatre

Interactive Cardiovascular and Thoracic Surgery 34 (5) 775–782

Health and Safety at Work etc. Act 1974 c. 37 [online] Available from: https://www.legislation.gov.uk/ukpga/1974/37/contents [Accessed October 2025]

Health and Safety Executive n.d. Legislation on leading health and safety [online] Available from: https://www.hse.gov.uk/leadership/legislation.htm [Accessed August 2025]

Heroor

Asaf

Deo

, et al 2022

Occupational hazards of surgical smoke and achieving a smoke free operating room environment: Asia-Pacific consensus statement on practice recommendations

Frontiers in Public Health 10 899171

Jones

Parry

Britton

, et al 2021

Engineering controls for surgical smoke in laser medical handpieces

Journal of Laser Applications 33 (2)

Okoshi

Hida

Kinoshita

, et al 2022

Measurement of particulate matter 2.5 in surgical smoke and its health hazards

Surgery Today 52 (9) 1341–1347

Rodger

2022

The case for compulsory surgical smoke evacuation systems in the operating theatre

Clinical Ethics 17 (2) 130–135

10.

Sangkham

Phairuang

Sherchan

, et al 2024

An update on adverse health effects from exposure to PM2.5

Environmental Advances 18 100603

11.

Steege

Boiano

Sweeney

2016

Secondhand smoke in the operating room? Precautionary practices lacking for surgical smoke

American Journal of Industrial Medicine 59 (11) 1020–1031

12.

Wang

Zhou

Curl

, et al 2023

Long-term exposure to ambient air pollution and cognitive function in older US adults: the Multi-Ethnic Study of Atherosclerosis

Environmental Epidemiology 7 (1) e242

13.

World Health Organization 2021 WHO global air quality guidelines: particulate matter (PM2.5 and PM10), ozone, nitrogen dioxide, sulfur dioxide and carbon monoxide [online] Available from: https://www.google.com/url?q=https://www.who.int/publications/i/item/9789240034228&sa=D&source=docs&ust=1754652059565246&usg=AOvVaw3fRS3KL-UMtt6WECIr2ifE [Accessed August 2025]