Revista do Colégio Brasileiro de Cirurgiões ()

Analysis of electrocautery generated smoke by chromatographic-mass spectrometry

  • JEFFERSON KALIL,
  • FRANCISCO B. T. PESSINE,
  • CARLOS H. V. FIDELIS,
  • FABIO H. MENEZES,
  • PAULO CESAR RODRIGUES PALMA

DOI
https://doi.org/10.1590/0100-69912016002009
Journal volume & issue
Vol. 43, no. 2
pp. 124 – 128

Abstract

Read online

ABSTRACT Objective: to analyze the chemical components of the smoke from electrocautery from coagulating muscle and liver tissues of pigs. Methods: we collected smoke produced by electrocautery applied to porcine tissue in previously evacuated bottles, with qualitative and quantitative analysis of the compounds present through the hyphenated technique gas chromatography / mass spectrometry. Results: there was a majority of decanal aldehyde in the fumes from the subcutaneous, muscle and liver tissues. Fumes of subcutaneous and muscular tissues also showed the presence of hexanal and phenol. In the fumes of subcutaneous and liver tissues we also found toluene and limonene and, finally, nonanal smoke was present in the muscle and liver tissues. Conclusion: there is increasing evidence showing that smoke from electrocautery used in subcutaneous, muscle and liver tissue is harmful to human health. Thus, there is need to reduce exposure to it or wear masks with filters capable of retaining these particles.

Keywords