Effect of inhaled waste anaesthetic gas on blood and liver parameters among hospital staff

Hum Exp Toxicol. 2020 Dec;39(12):1585-1595. doi: 10.1177/0960327120938840. Epub 2020 Jul 14.

Abstract

A significant health risk exists within a section of health workers that are exposed to anaesthetic gas and vapours, found in the atmosphere of treatment or operating rooms. These compounds are classified as waste anaesthetic gases (WAG). The present study aimed at identifying alterations in hepatic and haematological parameters occurring as a result of chronic exposure to WAG potentially affecting the health of team members working in hospitals. Therefore, operating room operatives, vulnerable to long-standing WAG exposure, were recruited for this study. Sevoflurane anaesthesia metabolites (inorganic fluoride and hexafluoroisopropanol (HFIP)), haematological indices and liver toxicity markers (alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, gamma-glutamyl transferase and osteopontin) were measured. The collected results showed increased plasma inorganic fluoride, HFIP and liver toxicity markers, as well as disturbances in haematological parameters. In conclusion, exposure to halogenated inhalational anaesthetics, in general, and Sevoflurane, in particular, induces alterations in hepatic markers and haematological indices.

Keywords: Inhaled anaesthetics; blood; health; liver; staff.

MeSH terms

  • Adult
  • Anesthetics, Inhalation / adverse effects*
  • Blood Cell Count
  • Blood Proteins / analysis
  • Fluorides / blood
  • Humans
  • Liver / drug effects
  • Male
  • Occupational Exposure / adverse effects*
  • Operating Rooms
  • Osteopontin / blood
  • Personnel, Hospital
  • Sevoflurane / adverse effects*
  • Waste Products

Substances

  • Anesthetics, Inhalation
  • Blood Proteins
  • Waste Products
  • Osteopontin
  • Sevoflurane
  • Fluorides