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CRNA's exposure to anesthetic gases -



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  #1  
Old Aug 26, 2007, 01:06 PM
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Join Date: Aug 2007
CRNA's exposure to anesthetic gases -

I am just curious how often do you find yourself exposed to anesthetic gas while sedating clients in your work environment?

Sean

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  #2  
Old Aug 26, 2007, 02:41 PM
jwk
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Join Date: May 2004
Re: CRNA's exposure to anesthetic gases -

Originally Posted by HannitizeYou View Post
I am just curious how often do you find yourself exposed to anesthetic gas while sedating clients in your work environment?


Sean
I'm never exposed to anesthetic gases while sedating patients.

And when I anesthetize patients, the exposure is minimal because of waste anesthetic gas scavenging systems and high airflow rates through the OR's. This is much different than it was 25 years ago when scavenging systems weren't installed in many OR's and inhalation inductions in pediatric patients using only semi-closed systems were used - lots of waste gas was just going out into the OR.

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  #3  
Old Aug 26, 2007, 04:23 PM
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Re: CRNA's exposure to anesthetic gases -

Originally Posted by jwk View Post
I'm never exposed to anesthetic gases while sedating patients.

And when I anesthetize patients, the exposure is minimal because of waste anesthetic gas scavenging systems and high airflow rates through the OR's. This is much different than it was 25 years ago when scavenging systems weren't installed in many OR's and inhalation inductions in pediatric patients using only semi-closed systems were used - lots of waste gas was just going out into the OR.
I understand completely - However when one extubates a patient as the patient expires anesthetic gas will be a component of the patients expiratory volume. You are telling me that you never smell anesthetic gases when you extubate a patient post sx?

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  #4  
Old Aug 26, 2007, 07:29 PM
jwk
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Join Date: May 2004
Re: CRNA's exposure to anesthetic gases -

Originally Posted by HannitizeYou View Post
I understand completely - However when one extubates a patient as the patient expires anesthetic gas will be a component of the patients expiratory volume. You are telling me that you never smell anesthetic gases when you extubate a patient post sx?
Rarely - whether I extubate someone deep or awake, I'll immediately place the mask back on until we're ready to move them to the stretcher and leave the OR. The newer agents don't hang around very long - most are undetectable on the gas monitors after a few minutes of high flow O2 and a semi-closed circuit. Whatever tiny fraction of a percentage that may remain is of little concern.

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  #5  
Old Aug 27, 2007, 10:51 AM
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Join Date: Aug 2007
Re: CRNA's exposure to anesthetic gases -

Originally Posted by jwk View Post
Rarely - whether I extubate someone deep or awake, I'll immediately place the mask back on until we're ready to move them to the stretcher and leave the OR. The newer agents don't hang around very long - most are undetectable on the gas monitors after a few minutes of high flow O2 and a semi-closed circuit. Whatever tiny fraction of a percentage that may remain is of little concern.
Ok JWK - much thanks for the information

Sean

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CRNA's exposure to anesthetic gases -

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