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Exposure to Waste Anesthetic Gases Throughout Surgical Interventions: A Case Study in a Portuguese Local Health Unit

dc.contributor.authorLeal, Leiddi Laura Maria
dc.contributor.authorYamanaka, Vanessa Yukie
dc.contributor.authorPereira, Ermelinda
dc.contributor.authorTheodoro, Joseane
dc.contributor.authorDomingues, Maria de Fátima
dc.contributor.authorFernandes, Isabel
dc.contributor.authorGabriel, Marta Fonseca
dc.contributor.authorFeliciano, Manuel
dc.date.accessioned2025-01-14T14:34:08Z
dc.date.available2025-01-14T14:34:08Z
dc.date.issued2024
dc.description.abstractThe accumulation of anesthetic gas residues in surgery units can pose health risks to healthcare professionals, highlighting the need to establish effective protection measures. This study evaluated waste anesthetic gas levels in a local health unit in northern Portugal to identify highexposure areas during surgeries using general anesthesia. Measurements of desflurane, sevoflurane, carbon dioxide, air temperature, and relative humidity were taken during 20 surgeries carried out over approximately six months. The results showed that the thermal conditions were not adequately controlled, particularly the relative humidity levels. The detectedWAG concentrations fluctuated across different locations, with concerning peaks being detected in specific settings. Desflurane levels reached 8.79 ppm in the general surgery room (GSR) and averaged 3.13 ppm in the recovery room (RR), while the sevoflurane levels averaged 2.06 ppm in the RR. High concentrations exceeding the recommendations of the U.S. National Institute for Occupational Safety and Health (NIOSH) were notably observed after endotracheal tube removal. In short surgeries, anesthetic gas levels exceeded safety limits, while long surgeries caused peaks in sevoflurane levels. Longer surgeries and higher occupancy were significantly linked to increased levels of WAG and carbon dioxide, emphasizing the need to improve ventilation and environmental controls to safeguard healthcare professionals.pt_PT
dc.description.sponsorshipThis work was supported by Portuguese national funds through FCT/MCTES (PIDDAC): CIMO, UIDB/00690/2020 (DOI: 10.54499/UIDB/00690/2020) and UIDP/00690/2020 (DOI: 10.54499/UIDP/00690/2020); and SusTEC, LA/P/0007/2020 (DOI: 10.54499/LA/P/0007/2020).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationLeal, Leiddi; Yamanaka, Vanessa; Pereira, Ermelinda; Theodoro, Joseane; Domingues, Maria de Fátima; Fernandes, Isabel; Gabriel, Marta Fonseca; Feliciano, Manuel (2024). Exposure to Waste Anesthetic Gases Throughout Surgical Interventions: A Case Study in a Portuguese Local Health Unit. Atmosphere. ISSN 2073-4433. 15:12, p. 1-19pt_PT
dc.identifier.doi10.3390/atmos15121521pt_PT
dc.identifier.issn2073-4433
dc.identifier.urihttp://hdl.handle.net/10198/30973
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relationMountain Research Center
dc.relationMountain Research Center
dc.relationAssociate Laboratory for Sustainability and Tecnology in Mountain Regions
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectIndoor airpt_PT
dc.subjectSevofluranept_PT
dc.subjectDesfluranept_PT
dc.subjectOccupational safetypt_PT
dc.subjectGeneral anesthesiapt_PT
dc.subjectCircular anesthesia systempt_PT
dc.titleExposure to Waste Anesthetic Gases Throughout Surgical Interventions: A Case Study in a Portuguese Local Health Unitpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleMountain Research Center
oaire.awardTitleMountain Research Center
oaire.awardTitleAssociate Laboratory for Sustainability and Tecnology in Mountain Regions
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F00690%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDP%2F00690%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/LA%2FP%2F0007%2F2020/PT
oaire.citation.endPage19pt_PT
oaire.citation.issue12pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleAtmospherept_PT
oaire.citation.volume15pt_PT
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStream6817 - DCRRNI ID
person.familyNamePereira
person.familyNameFeliciano
person.givenNameErmelinda
person.givenNameManuel
person.identifier.ciencia-id3916-218E-1629
person.identifier.ciencia-id2D11-7230-702B
person.identifier.orcid0000-0002-9431-5059
person.identifier.orcid0000-0002-3147-4511
person.identifier.scopus-author-id35222107200
person.identifier.scopus-author-id6603358480
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublicationccb9c69d-2820-493b-ab44-77b0538814fa
relation.isAuthorOfPublication.latestForDiscovery9d6b3744-286d-42bc-b363-533450bdb07c
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