Pilot Studies of VOC Exposure Profiles during Surgical Operations

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

研究成果: 雜誌貢獻文章

摘要

Volatile organic chemical exposure resulting from surgical operations is common in operating room personnel. The potential risk of long-term exposure to these low-level chemicals is always a concern. This study was conducted in an area hospital located in northern Taiwan to investigate the internal exposure scenario for operating room personnel. Breath samples were collected before and after surgery, whereas area samples were collected during the surgeries in process. There were 18 volatile organic compounds identified in the samples with gas chromatography-mass spectrometry. The average concentrations of sevoflurane (P = 0.0082), dimethyl sulfide (P = 0.0550), and methyl methacrylate (P = 0.0606) in breath samples collected after surgical operations were significantly higher compared to those obtained before surgical operations, whereas only slight elevations were present for benzene and hexamethyldisiloxane (P < 0.100). In addition, electrosurgical smoke-related chemicals, such as benzene, toluene, ethylbenzene, and m/p-xylene, also presented higher levels in operating room samples compared to the control area. Specifically, the findings in this preliminary study suggested the associations of elevated exposure to sevoflurane across various surgeries to methyl methacrylate with orthopedic surgery and to hexamethyldisiloxane with conventional electrosurgical units. Future study is warranted to explore the short-term high-level chemical exposure in operating rooms and to propose effective preventive measures accordingly to keep any exposure to chemicals at the lowest practical level.
原文英語
頁(從 - 到)173-183
頁數11
期刊Annals of Work Exposures and Health
63
發行號2
DOIs
出版狀態已發佈 - 二月 16 2019

指紋

Operating Rooms
Methacrylates
Benzene
Organic Chemicals
Volatile Organic Compounds
Toluene
Taiwan
Smoke
Gas Chromatography-Mass Spectrometry
Orthopedics
hexamethyldisiloxane
sevoflurane

引用此文

Pilot Studies of VOC Exposure Profiles during Surgical Operations. / Cheng, Nai-Yun; Chuang, Hsiao-Chi; Shie, Ruei-Hao; Liao, Wei-Heng; Hwang, Yaw-Huei.

於: Annals of Work Exposures and Health, 卷 63, 編號 2, 16.02.2019, p. 173-183.

研究成果: 雜誌貢獻文章

Cheng, Nai-Yun ; Chuang, Hsiao-Chi ; Shie, Ruei-Hao ; Liao, Wei-Heng ; Hwang, Yaw-Huei. / Pilot Studies of VOC Exposure Profiles during Surgical Operations. 於: Annals of Work Exposures and Health. 2019 ; 卷 63, 編號 2. 頁 173-183.
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abstract = "Volatile organic chemical exposure resulting from surgical operations is common in operating room personnel. The potential risk of long-term exposure to these low-level chemicals is always a concern. This study was conducted in an area hospital located in northern Taiwan to investigate the internal exposure scenario for operating room personnel. Breath samples were collected before and after surgery, whereas area samples were collected during the surgeries in process. There were 18 volatile organic compounds identified in the samples with gas chromatography-mass spectrometry. The average concentrations of sevoflurane (P = 0.0082), dimethyl sulfide (P = 0.0550), and methyl methacrylate (P = 0.0606) in breath samples collected after surgical operations were significantly higher compared to those obtained before surgical operations, whereas only slight elevations were present for benzene and hexamethyldisiloxane (P < 0.100). In addition, electrosurgical smoke-related chemicals, such as benzene, toluene, ethylbenzene, and m/p-xylene, also presented higher levels in operating room samples compared to the control area. Specifically, the findings in this preliminary study suggested the associations of elevated exposure to sevoflurane across various surgeries to methyl methacrylate with orthopedic surgery and to hexamethyldisiloxane with conventional electrosurgical units. Future study is warranted to explore the short-term high-level chemical exposure in operating rooms and to propose effective preventive measures accordingly to keep any exposure to chemicals at the lowest practical level.",
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