Nitrous oxide pollution in the operating room. A comparison of two modes of ventilation.
The use of laryngeal mask airway (LMA) as an alternative to the endotracheal tube (ETT) is becoming more popular in the practice of anesthesia. It is undeniable that this device has numerous advantages over endotracheal tube, however it does not provide an airtight seal between the airway and atmospheric gases. This may lead to pollution of the operating room environment with nitrous oxide. One hundreds adult patients undergoing general anaesthesia were divided into two groups. The airway in Group I was maintained with LMA with spontaneous ventilation and ETT with intermittent positive pressure ventilation (IPPV) was used for Group II. The result demonstrated that the ETT group recorded concentrations of nitrous oxide that were well above the NIOSH recommended eight hour time weighted average of 25ppm throughout the duration of surgery when compared to patients using LMA.
Noorddin
Y
Y
Department of Anaesthesia and Intensive Care, Faculty of Medicine, Hospital Universiti Kebangsaan Malaysia, Jalan Yaakob Latiff, Bandar Tun Razak, Cheras Kuala Lumpur.
Raha
A R
AR
Jaafar
M Z
MZ
Rozaidi
S H W
SH
Muraly
S
S
Marlizan
M Y
MY
D000395:Air Pollutants, Occupational / Q000032:analysis*; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007384:Intermittent Positive-Pressure Breathing; D007442:Intubation, Intratracheal; D017214:Laryngeal Masks; D008297:Male; D009609:Nitrous Oxide / Q000032:analysis*; D009873:Operating Rooms; D011446:Prospective Studies
D000395:Air Pollutants, Occupational; D009609:Nitrous Oxide