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[环境监测对手术室麻醉气体浓度的影响评估]

[Evaluation of the environmental monitoring's effects on the anaesthetic gases concentrations in the operating theatres].

作者信息

Albertini P, Mainardi P, Montuori P, Sardelli P, Triassi M

机构信息

Azienda Sanitaria Locale NA1, Servizio Prevenzione e Protezione .

出版信息

Ann Ig. 2008 Sep-Oct;20(5):455-63.

Abstract

The aim of this study was to evaluate the efficacy of anaesthetic gases monitoring in the operating theatre. From January 1997 to December 2007, in compliance with the Ministerial Circular on Professional anaesthetic exposure in operating theatres (5/89), we conducted an environmental monitoring of nitrous oxide (N2O) in 71 operating rooms of 31 public hospitals to determine the respect of limits established by circular (50 ppm). The results show that number of surgery rooms with airborne concentrations of nitrous oxide outside normative limits reduced varying approximately from 40% without monitoring activity, to 15% after a cycle of 10 monitorings. This study demonstrate that the environmental monitoring is crucial, efficacy and should be the first step in developing work practices and worker education programs. To the best of our knowledge, this study demonstrates the efficacy of anaesthetic gases monitoring in the operating theatre was evaluated.

摘要

本研究的目的是评估手术室中麻醉气体监测的效果。1997年1月至2007年12月期间,根据关于手术室专业麻醉暴露的部长通告(5/89),我们对31家公立医院的71间手术室中的一氧化二氮(N2O)进行了环境监测,以确定是否符合通告规定的限值(50 ppm)。结果表明,空气中一氧化二氮浓度超出规范限值的手术室数量有所减少,大致从无监测活动时的40%降至经过10次监测循环后的15%。本研究表明,环境监测至关重要、有效,且应是制定工作规范和开展工作人员教育计划的第一步。据我们所知,本研究评估了手术室中麻醉气体监测的效果。

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