La fumée chirurgicale et ses implications : un bilan des risques et des obstacles à un environnement de travail sécuritaire
Résumé
Chaque année, des milliers de professionnels de la santé à travers le monde sont exposés à la fumée chirurgicale. Il existe des données probantes que cette fumée se compose de gaz toxiques, d’agents pathogènes et de matière particulaire qui constituent un danger pour les patients et l’équipe périopératoire. Des recherches antérieures montrent que le personnel périopératoire se conforme de manière incohérente aux recommandations relatives à l’évacuation de la fumée. Le but de la présente étude était de déterminer, de passer en revue et de discuter des enjeux liés à la fumée chirurgicale et de ses implications pour les patients et le personnel périopératoire. Les conclusions de ce compte rendu se rapportent au contenu de la fumée chirurgicale, à ses risques pour la santé du personnel périopératoire, aux mesures préventives, aux mesures de prévention des infections, à la conformité aux systèmes d’évacuation de la fumée, aux connaissances du personnel et aux obstacles pour mettre en oeuvre des pratiques d’évacuation de la fumée. Il est particulièrement important de souligner que la littérature indiquait qu’un soutien solide de la part de la direction et la mise en oeuvre de formations régulières pour le personnel pourraient améliorer les pratiques pour la gestion de la fumée chirurgicale en bloc opératoire.
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