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手术室空气中废麻醉气体的分布

Distribution of waste anesthetic gases in the operating room air.

作者信息

Piziali R L, Whitcher C, Sher R, Moffat R J

出版信息

Anesthesiology. 1976 Nov;45(5):487-94.

PMID:973705
Abstract

Epidemiologic and animal studies identify a strong relationship between chronic exposure to anesthetic gases and health hazards. Efforts to reduce exposure of personnel require an understanding of the distribution of anesthetic waste gases in the operating room air. Concentrations of nitrous oxide and halothane were measured at numerous stations throughout an operating room and a delivery room in the absence of personnel. Air conditioning flow rates and flow patterns were varied, as was the height of the anesthetic gas source. Air flow patterns were found to dominate the anesthetic gas distribution, while buoyancy effects were negligible. Venting waste gases at the floor does not significantly reduce exposure of personnel. Areas of high concentration were observed; their occurrences and locations varied strongly with air flow patterns. The exhaust grille is the best location for a single measurement of the average room concentration. Recirculating air-conditioning systems reduce energy costs; however, only the non-recirculating portion of the air exchanges reduces waste gas concentrations.

摘要

流行病学和动物研究表明,长期接触麻醉气体与健康危害之间存在密切关系。减少人员接触需要了解手术室空气中麻醉废气的分布情况。在无人的情况下,对手术室和产房的多个站点测量了一氧化二氮和氟烷的浓度。改变了空调流速和气流模式,以及麻醉气体源的高度。发现气流模式主导麻醉气体分布,而浮力效应可忽略不计。在地面排放废气并不能显著降低人员接触。观察到了高浓度区域;其出现情况和位置随气流模式变化很大。排气格栅是单次测量房间平均浓度的最佳位置。循环空调系统可降低能源成本;然而,只有空气交换中的非循环部分能降低废气浓度。

相似文献

1
Distribution of waste anesthetic gases in the operating room air.手术室空气中废麻醉气体的分布
Anesthesiology. 1976 Nov;45(5):487-94.
2
[Pollution of operating room air by anesthetic gases in relation to the air conditioning method and anesthesia techniques].[手术室空气中麻醉气体污染与空调方法及麻醉技术的关系]
Zentralbl Hyg Umweltmed. 1994 Apr;195(4):299-305.
3
[Contamination of the operating room by anesthetic gases and vapors. II. Gas chromatographic analysis of nitrous oxide].[麻醉气体和蒸汽对手术室的污染。II. 一氧化二氮的气相色谱分析]
Minerva Anestesiol. 1981 Dec;47(12):827-30.
4
Trace anesthetic gases during xenon arc photocoagulation for retinoblastoma.视网膜母细胞瘤氙弧光凝治疗期间的微量麻醉气体。
Ann Ophthalmol. 1989 Oct;21(10):392-3.
5
Occupational exposure to nitrous oxide - the role of scavenging and ventilation systems in reducing the exposure level in operating rooms.职业性接触氧化亚氮——清除和通风系统在降低手术室接触水平中的作用。
Int J Hyg Environ Health. 2007 Mar;210(2):133-8. doi: 10.1016/j.ijheh.2006.07.004. Epub 2006 Oct 10.
6
[The environment in the operating room. II. Air pollution by anesthetic gases].[手术室环境。II. 麻醉气体造成的空气污染]
Ned Tijdschr Geneeskd. 1976 Apr 17;120(16):699-702.
7
[Occupational exposure of the anesthesiologist to nitrous oxide and halothane. Control measures].[麻醉医生对氧化亚氮和氟烷的职业暴露。控制措施]
Rev Esp Anestesiol Reanim. 1989 Sep-Oct;36(5):267-75.
8
[Pollution of the workplace by anesthetic gases. Causes and prevention].[麻醉气体对工作场所的污染。原因与预防]
Anaesthesist. 1991 Jun;40(6):339-46.
9
Retention of anesthetic agents following occupational exposure.
Anesth Analg. 1973 Jul-Aug;52(4):614-8.
10
Operating-room venting of trace concentrations of inhalation anesthetic agents.手术室中微量吸入麻醉剂的排放
Can Med Assoc J. 1977 May 21;116(10):1148-51.

引用本文的文献

1
Reduction of gas contamination in the operating room.降低手术室中的气体污染。
Can Fam Physician. 1977 Dec;23:47-51.
2
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.
3
Nitrous oxide levels in operating room air with various gas flows.不同气体流量下手术室空气中一氧化二氮的水平。
Can Anaesth Soc J. 1979 Jul;26(4):313-8. doi: 10.1007/BF03006293.