Pilot Studies of VOC Exposure Profiles during Surgical Operations.

作者: Nai-Yun Cheng , Hsiao-Chi Chuang , Ruei-Hao Shie , Wei-Heng Liao , Yaw-Huei Hwang

DOI: 10.1093/ANNWEH/WXY099

关键词:

摘要: Volatile organic chemical exposure resulting from surgical operations is common in operating room personnel. The potential risk of long-term to these low-level chemicals always a concern. This study was conducted an area hospital located northern Taiwan investigate the internal scenario for Breath samples were collected before and after surgery, whereas during surgeries process. There 18 volatile compounds identified with gas chromatography-mass spectrometry. average concentrations sevoflurane (P = 0.0082), dimethyl sulfide 0.0550), methyl methacrylate 0.0606) breath significantly higher compared those obtained operations, only slight elevations present benzene hexamethyldisiloxane < 0.100). In addition, electrosurgical smoke-related chemicals, such as benzene, toluene, ethylbenzene, m/p-xylene, also presented levels control area. Specifically, findings this preliminary suggested associations elevated across various orthopedic surgery conventional units. Future warranted explore short-term high-level rooms propose effective preventive measures accordingly keep any at lowest practical level.

参考文章(44)
C. J. Krones, J. Conze, F. Hoelzl, M. Stumpf, U. Klinge, M. Möller, W. Dott, V. Schumpelick, J. Hollender, Chemical composition of surgical smoke produced by electrocautery, harmonic scalpel and argon beaming – a short study European Surgery-acta Chirurgica Austriaca. ,vol. 39, pp. 118- 121 ,(2007) , 10.1007/S10353-006-0305-1
Yun Jo Chung, Sang Kyi Lee, Suk Hee Han, Chen Zhao, Myung Ki Kim, Seung Chul Park, Jong Kwan Park, Harmful gases including carcinogens produced during transurethral resection of the prostate and vaporization International Journal of Urology. ,vol. 17, pp. 944- 949 ,(2010) , 10.1111/J.1442-2042.2010.02636.X
Miłosz Dobrogowski, Wiktor Wesołowski, Małgorzata Kucharska, Andrzej Sapota, Lech Pomorski, Chemical composition of surgical smoke formed in the abdominal cavity during laparoscopic cholecystectomy – Assessment of the risk to the patient International Journal of Occupational Medicine and Environmental Health. ,vol. 27, pp. 314- 325 ,(2014) , 10.2478/S13382-014-0250-3
Yu-Wen Lin, Shou-Zen Fan, Kuo-Hui Chang, Chiun-Sheng Huang, Chin-Sheng Tang, A Novel Inspection Protocol to Detect Volatile Compounds in Breast Surgery Electrocautery Smoke Journal of the Formosan Medical Association. ,vol. 109, pp. 511- 516 ,(2010) , 10.1016/S0929-6646(10)60085-X
Josef Rieder, Peter Prazeller, Michael Boehler, Philipp Lirk, Werner Lindinger, Anton Amann, Online monitoring of air quality at the postanesthetic care unit by proton-transfer-reaction mass spectrometry. Anesthesia & Analgesia. ,vol. 92, pp. 389- 392 ,(2001) , 10.1097/00000539-200102000-00021
John Spearman, George Tsavellas, Paul Nichols, Current Attitudes and Practices Towards Diathermy Smoke Annals of The Royal College of Surgeons of England. ,vol. 89, pp. 162- 165 ,(2007) , 10.1308/003588407X155752
Hsin-Shun Tseng, Shi-Ping Liu, Shi-Nian Uang, Li-Ru Yang, Shien-Chih Lee, Yao-Jen Liu, Dar-Ren Chen, Cancer risk of incremental exposure to polycyclic aromatic hydrocarbons in electrocautery smoke for mastectomy personnel World Journal of Surgical Oncology. ,vol. 12, pp. 31- 31 ,(2014) , 10.1186/1477-7819-12-31
Klaus H. Hoerauf, Thomas Wallner, Ozan Akca, Reza Taslimi, Daniel I. Sessler, Exposure to sevoflurane and nitrous oxide during four different methods of anesthetic induction. Anesthesia & Analgesia. ,vol. 88, pp. 925- 929 ,(1999) , 10.1097/00000539-199904000-00045
Shang A. Loh, Grace A. Carlson, Edward I. Chang, Eric Huang, Daniel Palanker, Geoffrey C. Gurtner, Comparative healing of surgical incisions created by the PEAK PlasmaBlade, conventional electrosurgery, and a scalpel. Plastic and Reconstructive Surgery. ,vol. 124, pp. 1849- 1859 ,(2009) , 10.1097/PRS.0B013E3181BCEE87
P. M. Sagar, A. Meagher, S. Sobczak, B. G. Wolff, Chemical composition and potential hazards of electrocautery smoke British Journal of Surgery. ,vol. 83, pp. 1792- 1792 ,(2005) , 10.1002/BJS.1800831241