Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

NIOSHTIC-2 Publications Search

Search Results

HHE report no. HETA-85-126-1932, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania.

Authors
Bryant-CJ; Gorman-R; Stewart-J; Whong-Z
Source
Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, HETA 85-126-1932, 1988 Sep; :1-28
Link
NIOSHTIC No.
00184451
Abstract
In response to a request from a group of surgeons at the Bryn Mawr Hospital (SIC-8062), located in Bryn Mawr, Pennsylvania an evaluation was made of possible hazardous working conditions at that site. The surgeons were concerned about emissions generated by electrocautery knives when performing reduction mammoplasty. Several operating room personnel were experiencing acute health effects during this procedure, which does produce a considerable amount of smoke. Symptoms included respiratory and eye irritation, headache, and nausea. Personal and area air samples were taken for hydrocarbons, nitrosamines, total particulates, benzene soluble fraction, and polynuclear aromatic compounds. Total particulate concentrations ranged from 0.4 to 2.0mg/m3 in personal breathing zone samples and from 0.7 to 9.4mg/m3 in area samples. During a brief demonstration of the laser cutting technique, a particulate sample was taken which measured 9.4mg/m3, 7.4mg/m3 of which was benzene soluble. The benzene soluble fraction exceeded the NIOSH REL and the OSHA PEL in seven of eleven samples collected. Trace amounts of hydrocarbons were identified. The major component of the samples appeared to be a compound or compounds related to fatty acid esters. Solvent extracts of airborne particles collected from the room using cauterization were mutagenic. The authors recommend that engineering ventilation controls be used to minimize the acute health effects and reduce the potential for long range chronic disorders, that any further acute or chronic health effects be evaluated and documented, and that exposure to eletrocautery smoke be reevaluated.
Keywords
NIOSH-Author; NIOSH-Health-Hazard-Evaluation; HETA-85-126-1932; Region-3; Hazard-Confirmed; NIOSH-Technical-Assistance-Report; Operating-rooms; Nurses; Medical-personnel; Medical-equipment; Author Keywords: General Medical and Surgical Hospitals; operating rooms; electrocautery knives; electrocautery smoke; reduction mammoplasty; mutagenicity assessment; polynuclear aromatics; PNAs; nitrosamines; benzene-soluble fraction
Publication Date
19880901
Document Type
Field Studies; Hazard Evaluation and Technical Assistance
Fiscal Year
1988
NTIS Accession No.
PB89-152334
NTIS Price
A03
Identifying No.
HETA-85-126-1932
NIOSH Division
DSHEFS
SIC Code
8062
Source Name
National Institute for Occupational Safety and Health
State
PA; OH
TOP