Air quality in hospital operating rooms
Air quality in hospital operating rooms
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DOI：
10.1016/j.buildenv.2007.11.015
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发表时间：
2008-11-01
影响因子：
7.4
通讯作者：
Gaglia, Athina G.
中科院分区：
文献类型：
--
作者：
Dascalaki, Elena G.;Lagoudi, Argyro;Gaglia, Athina G.
医院手术室（OR）的室内空气质量是患者和医务人员非常关注的问题，因此要求在OR中使用高效的HVAC系统和主动气体清除系统。本文总结了广泛的相关医学和工程文献，突出了相关的挑战，问题和解决方案，沿着推荐的良好做法。对希腊手术室的室内条件进行了监测，并使用数据评估医务人员暴露于麻醉气体和其他室内化合物的情况。因此，即使在一些经审计的OR中采用了机械通风和换气系统，医务人员仍然暴露在较差的室内空气质量中。麻醉气体（异氟烷、七氟烷）的平均浓度为2362 μ g/m3，在18%的稽查OR中超过暴露限值。消毒剂的平均浓度为甲醛288 μ g/m3，戊二醛207 μ g/m3。在OR室内空气中发现了其他化合物，占总挥发性有机物浓度的54%。(C)2007爱思唯尔有限公司版权所有。
Indoor air quality in hospital operating rooms (ORs) is of great concern for patients and medical personnel, thus mandating the use of efficient HVAC systems and active gas scavenging systems in ORs. A wide range of relevant medical and engineering literature is summarized in this paper, highlighting relevant challenges, problems and solutions, along with recommended good practices. Indoor conditions in Hellenic ORs were monitored and data were used to assess the exposure of medical personnel to anaesthetic gases and other indoor chemical compounds. Accordingly, even when mechanical ventilation and scavenging systems were employed in some of the audited ORs, medical personnel are still exposed to poor indoor air quality. The average concentration of anaesthetic gases (isoflurane, sevoflurane) was 2362 mu g/m(3), exceeding the exposure limit in 18% of the audited ORs. The average concentration of disinfecting agents was 288 mu g/m(3) for formaldehyde and 207 mu g/m(3) for glutaraldehyde. Additional compounds were identified in the OR indoor air that represent 54% of the total volatile organic concentration. (C) 2007 Elsevier Ltd. All rights reserved.