Foot & Ankle Surgical Centre, Stockholm, Sweden.
Acta Anaesthesiol Scand. 2010 Oct;54(9):1117-20. doi: 10.1111/j.1399-6576.2010.02280.x. Epub 2010 Jul 28.
Work place pollution during filling of anaesthetic vaporisers has been a matter of concern. We studied personnel breathing zone ambient air sevoflurane concentrations during filling of sevoflurane with three different filling systems: Quik-Fil™ for Abbott and Dräger Fill™ resp. Easy-Fil™ adapters for Baxter sevoflurane bottles, referred to as 'Abbott and Baxter filling systems'.
Sequential filling of three vaporisers was performed for a 15-min period, once with each of Abbott and Baxter filling systems, by four nurses. Ambient-air sevoflurane p.p.m. concentration in the breathing zone was continuously measured using a Miran 1a device during filling, and the mean 15 min sevoflurane concentration was calculated.
All eight measured (4 × 2 sequences) 15-min mean breathing zone sevoflurane concentrations covering filling of three vaporisers were well below the recommended short-term value (STV) provided by the Swedish Work Environment Authority (STV 20 p.p.m.).
The breathing zone sevoflurane concentration during filling of sevoflurane with Baxter or Abbott filling systems, in an ordinary operating theatre, was found to be reassuringly below the Swedish recommended STV (20 p.p.m. average for a 15-min period).
在麻醉蒸发器填充过程中工作场所污染一直是人们关注的问题。我们研究了在使用三种不同填充系统（雅培的 Quik-Fil™ 和德尔格的 Dräger Fill™ 适配器分别用于 Baxter 七氟醚瓶，即“雅培和 Baxter 填充系统”）填充七氟醚期间，操作人员呼吸区环境空气中七氟醚浓度。
四名护士依次用雅培和 Baxter 填充系统各填充三个蒸发器 15 分钟。在填充过程中，使用 Miran 1a 设备连续测量呼吸区环境空气中的七氟醚 ppm 浓度，并计算 15 分钟的平均七氟醚浓度。
所有 8 次测量（4×2 序列）涵盖三个蒸发器填充的 15 分钟平均呼吸区七氟醚浓度均远低于瑞典工作环境管理局（瑞典工作环境管理局）规定的短期推荐值（STV）（20ppm）。
在普通手术室中使用 Baxter 或 Abbott 填充系统填充七氟醚时，呼吸区七氟醚浓度被发现令人放心地低于瑞典推荐的 STV（15 分钟内平均 20ppm）。
