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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.

DOI:10.1055/s-2008-1034734
PMID:10637802
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。

相似文献

1
[No contamination of medical personnel by desflurane and nitrous oxide inhalation anesthetics during surgical interventions in ophthalmology].[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]
Klin Monbl Augenheilkd. 1999 Dec;215(6):367-9. doi: 10.1055/s-2008-1034734.
2
Occupational exposure to nitrous oxide and desflurane during ear-nose-throat-surgery.耳鼻喉手术期间职业暴露于氧化亚氮和地氟烷。
Can J Anaesth. 2000 Oct;47(10):984-8. doi: 10.1007/BF03024870.
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[Maternal protection law and exposure of personnel in the recovery room and surgical intensive care unit by inhalation anesthetics].
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[Exposure of operating room personnel to anesthetic gases during ENT interventions].[耳鼻喉科手术期间手术室人员接触麻醉气体的情况]
HNO. 1996 Oct;44(10):567-71. doi: 10.1007/s001060050055.
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[Pollution of the work environment by volatile anesthetics and nitrous oxide].[挥发性麻醉剂和氧化亚氮对工作环境的污染]
Anasthesiol Intensivmed Notfallmed Schmerzther. 1997 Sep;32(9):532-40. doi: 10.1055/s-2007-995107.
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Surgeon's occupational exposure to nitrous oxide and sevoflurane during pediatric surgery.小儿外科手术中外科医生对氧化亚氮和七氟醚的职业暴露。
World J Surg. 2001 Sep;25(9):1109-12. doi: 10.1007/BF03215855.
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Occupational exposure to inhalational anesthetics during cardiac surgery on cardiopulmonary bypass.在体外循环心脏手术期间职业性接触吸入性麻醉剂。
Ann Thorac Surg. 2003 Jun;75(6):1924-7; discussion 1927-8. doi: 10.1016/s0003-4975(03)00003-1.
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[Spectrophotometric evaluation of nitrous oxide pollution in the work place of the anesthesiologic personnel in operating rooms].[手术室麻醉人员工作场所一氧化二氮污染的分光光度评估]
Pol Merkur Lekarski. 2004 Nov;17(101):438-42.
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[Exposure of recovery room personnel to inhalation anesthetics].[恢复室工作人员接触吸入性麻醉剂的情况]
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[Evaluation and prospectives of environmental-biologic monitoring and health surveillance in operating room personnel exposed to low doses of volatile anesthetics].[低剂量挥发性麻醉剂暴露手术室人员的环境生物监测与健康监护评估及展望]
Ann Ig. 1997 Sep-Oct;9(5):363-71.

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Occupational exposure to volatile anaesthetics: epidemiology and approaches to reducing the problem.职业性接触挥发性麻醉剂:流行病学及解决该问题的方法。
CNS Drugs. 2001;15(3):197-215. doi: 10.2165/00023210-200115030-00004.