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Article ; Online: Seeing is Believing: Chasing Sevoflurane Vapor Trails.

Termaat, Jonathan / Tighe, Rachael / Kopf, Larissa / Voss, Logan J

Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses

2023  Volume 39, Issue 2, Page(s) 235–239

Abstract: Purpose: Sevoflurane is an inhalational general anesthetic that has been used recently to treat chronic, painful lesions, reportedly supporting analgesia and wound healing. The potential for repeated exposure to off-gassed sevoflurane vapor, especially ... ...

Abstract Purpose: Sevoflurane is an inhalational general anesthetic that has been used recently to treat chronic, painful lesions, reportedly supporting analgesia and wound healing. The potential for repeated exposure to off-gassed sevoflurane vapor, especially outside the air-conditioned operating theatre environment, is of some concern.
Design: This paper explores the qualitative and quantitative pathing of off-gassed sevoflurane from a topically applied liquid source.
Methods: Using a small, unventilated test-box (total volume 0.5 m
Findings: In keeping with its higher density than air, sevoflurane vapor was seen to "waterfall" from the liquid source and accumulate in the bottom of the test-box. Sevoflurane vapor concentration was minimal above the liquid source. When extrapolated to a larger (unventilated) room, we estimate that the sevoflurane concentration would be less than 10 ppm one centimetre above the liquid pool. With vacuum extraction, these levels would be even lower.
Conclusions: Due to sevoflurane's tendency to accumulate on the floor, it is concluded that topical application of liquid sevoflurane posses virtually no risk to off-gas exposure in unventilated spaces.
MeSH term(s) Sevoflurane ; Methyl Ethers/analysis ; Anesthetics, Inhalation/analysis ; Operating Rooms
Chemical Substances Sevoflurane (38LVP0K73A) ; Methyl Ethers ; Anesthetics, Inhalation
Language English
Publishing date 2023-11-22
Publishing country United States
Document type Journal Article
ZDB-ID 1329844-6
ISSN 1532-8473 ; 0883-9433 ; 1089-9472
ISSN (online) 1532-8473
ISSN 0883-9433 ; 1089-9472
DOI 10.1016/j.jopan.2023.07.019
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