The use of nitrous oxide in anaesthetic practice: a questionnaire survey

Anaesthesia - Tập 57 Số 12 - Trang 1155-1158 - 2002
K. Henderson1, Roy Rn2, John E. Hall3
1Environmental Advisor, Health, Safety and Environment Unit, University of Wales College of Medicine, Heath Park Cardiff, UK
2Fellow, Association of Anaesthetists of Great Britain and Ireland and
3Senior Lecturer/Consultant Anaesthetist, Department of Anaesthetics and Intensive Care, University of Wales College of Medicine, Cardiff, UK

Tóm tắt

SummaryWhere practicable, exposure to a hazardous substance should be eliminated or adequately controlled. A postal questionnaire survey was sent to 10% of consultants from the Association of Anaesthetists of Great Britain and Ireland, to identify the level of use of nitrous oxide in current anaesthetic practice and identify any change of practice over the last 5 years. Details of anaesthetic practice were requested in three areas: nitrous oxide usage, availability of medical air on anaesthetic machines and the use of total intravenous anaesthesia. Replies were received from 320 consultants (75%). Of these, 49% felt that, over the last 5 years, their use of nitrous oxide had decreased. Twenty per cent of anaesthetists felt that there should be some restriction in availability of nitrous oxide. Where medical air was available, 32% felt that they would use it frequently. A total of 263 (83%) stated that they use total intravenous anaesthesia to some extent. The results showed that, although 49% of consultant anaesthetists had reduced their use of nitrous oxide, this was due to medical considerations rather than concerns over health and pollution issues arising from the use of nitrous oxide.

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Tài liệu tham khảo

10.1111/j.1365-2044.1989.tb11383.x

10.1093/bja/79.3.342

Henry RJ, 1990, Ambient nitrous oxide levels during pediatric sedations, Pediatric Dentistry, 2, 87

10.1007/s004200050127

10.1046/j.1365-2044.1999.01032.x

Suruda AJ, 1990, Fatal abuse of nitrous oxide in the workplace, Journal of Occupational Medicine, 32, 682

10.1213/00000539-197903000-00009

10.1001/archneur.1983.04050070046009

10.1016/S0140-6736(78)92101-3

10.1056/NEJM199210013271405

10.1056/NEJM199210013271411

10.14219/jada.archive.1980.0345

10.1136/jech.39.2.141

Rosenberg P, 1972, Miscarriages among operating theatre staff, Acta Anaesthesiologica Scandinavica, 53, 37

TomlinPJ.Health problems of anaesthetists and their families in the West Midlands.British Medical Journal1979; 1:779–4.

10.1016/S0140-6736(75)80022-5

Control of Substances Hazardous to Health (COSHH) Regulations., 1999, Approved Codes of Practice.

10.1111/j.1365-2044.1998.53s170.x

10.1046/j.1365-2044.1998.00412.x

10.1016/0953-7112(94)90008-6

10.1093/ije/25.4.783

10.1016/S0140-6736(72)91048-3

WilsonCW McEachernM.The effects of waste anaesthetic gases.Canadian Operating Room Nursing Journal1985:13–20.

10.1111/j.1365-2044.1989.tb11294.x

10.1093/bja/65.2.155

1989, Safety Action Bulletin no. 49. Use of Carbon Dioxide.

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Anaesthesia

Tập 57 Số 12

1155-1158

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