What are the risks associated with surgical smoke and how can it be mitigated?

• A. Only irritants
• B. Bioaerosols and irritants; use smoke evacuator or suction and PPE
• C. Potential bioaerosols and irritants; use smoke evacuator or suction and PPE
• D. No risk

Answer: (C)

Exposure to surgical smoke involves two kinds of hazards: bioaerosols that may contain viable microorganisms, and irritant chemicals produced when tissue is heated. Because whether microbes are viable and in what quantity they’re present can vary by procedure and patient, the risk is best described as potential. To reduce exposure, capture smoke at the source with a dedicated smoke evacuator or high‑volume suction with proper filtration, and protect healthcare workers with appropriate personal protective equipment, such as respirators or PAPRs, plus eye protection and protective clothing. This approach addresses both the possible bioaerosols and the irritants, making it the most comprehensive mitigation strategy.