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[眼科手术干预期间地氟烷和氧化亚氮吸入麻醉剂对医务人员无污染]

[No contamination of medical personnel by desflurane and nitrous oxide inhalation anesthetics during surgical interventions in ophthalmology].

作者信息

Byhahn C, Wilke H J, Strouhal U, Westphal K

机构信息

Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Klinikum der J. W. Goethe-Universität, Frankfurt.

出版信息

Klin Monbl Augenheilkd. 1999 Dec;215(6):367-9. doi: 10.1055/s-2008-1034734.

Abstract

BACKGROUND

Possible health hazards from chronical exposure to inhalational anesthetics cannot definitively be excluded.

PATIENTS AND METHODS

Trace concentrations of nitrous oxide and desflurane were continuously every 90 seconds determined in the breathing zone of both ophthalmologist and anesthesiologist during strabism surgery in 20 children by a infrared spectrometer.

RESULTS

During anesthesia, the surgeon was exposed to the inhalational agents used, but concentrations were well within the legal limits.

CONCLUSIONS

Despite minor occupational exposure of the operating room staff during the operative procedures, inhalational anesthesia in ophthalmologic operative procedures can be considered safe from the standpoint of modern work place laws and health care regulations.

摘要

背景

长期接触吸入性麻醉剂可能存在的健康危害尚不能完全排除。

患者与方法

采用红外光谱仪,每90秒连续测定20例儿童斜视手术中眼科医生和麻醉医生呼吸区内微量的氧化亚氮和地氟烷浓度。

结果

麻醉期间,外科医生接触到了所使用的吸入性麻醉剂,但其浓度远低于法定限值。

结论

尽管手术室工作人员在手术过程中存在轻微职业暴露,但从现代工作场所法律和医疗保健法规的角度来看,眼科手术中的吸入麻醉可被视为安全的。

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