Assessment of Medical Personnel Exposure to Nitrogen Oxides During Inhaled Nitric Oxide Treatment of Neonatal and Pediatric Patients
This study was an assessment of potential exposures of medical personnel to nitrogen oxides during simulated and actual inhaled nitric oxide treatment of newborn and pediatric patients. Breathing zone exposures to nitric oxide (NO) and nitrogen dioxide (NO(2)) were monitored using data-logging perso...
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| Veröffentlicht in: | Pediatrics (Evanston) 1999-11, Vol.104 (5), p.1095-1100 |
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| creator | Phillips, Margaret L Hall, Thomas A Sekar, Krishnamurthy Tomey, Jeanine L |
| description | This study was an assessment of potential exposures of medical personnel to nitrogen oxides during simulated and actual inhaled nitric oxide treatment of newborn and pediatric patients.
Breathing zone exposures to nitric oxide (NO) and nitrogen dioxide (NO(2)) were monitored using data-logging personal dosimeters during simulated and actual administration of NO gas to patients in an intensive care setting. Sample. A total of 28 bedside nurses and 18 respiratory therapists were monitored during 6 different patient treatments.
The highest measured concentrations of NO and NO(2) in the personal breathing zones of the nurses and respiratory therapists were peak readings ( |
| doi_str_mv | 10.1542/peds.104.5.1095 |
| format | Article |
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Breathing zone exposures to nitric oxide (NO) and nitrogen dioxide (NO(2)) were monitored using data-logging personal dosimeters during simulated and actual administration of NO gas to patients in an intensive care setting. Sample. A total of 28 bedside nurses and 18 respiratory therapists were monitored during 6 different patient treatments.
The highest measured concentrations of NO and NO(2) in the personal breathing zones of the nurses and respiratory therapists were peak readings (<1 minute in duration) of 6.7 parts per million (ppm) NO and 3.1 ppm NO(2). Exposures averaged throughout 15 minutes and throughout the work shift were below the limit of detection (0.8-ppm NO and 0.5-ppm NO(2)).
Detectable exposures to NO and NO(2) were brief, infrequent, and well below Occupational Safety and Health Administration permissible exposure limits or any other exposure guideline, eg, American Conference of Governmental Hygienists Threshold Limit Values.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.104.5.1095</identifier><identifier>PMID: 10545553</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: Am Acad Pediatrics</publisher><subject>Administration, Inhalation ; Air Pollutants, Occupational - analysis ; Biological and medical sciences ; Chemical compounds (mineral, organic) ; Chemical, physic and infectious diseases ; Environmental aspects ; Environmental Monitoring ; Health aspects ; Humans ; Infant, Newborn ; Intensive Care Units, Neonatal ; Intensive Care Units, Pediatric ; Medical personnel ; Medical sciences ; Nitric oxide ; Nitric Oxide - administration & dosage ; Nitric Oxide - analysis ; Nitrogen ; Occupational Exposure ; Occupational medicine ; Occupational safety ; Pediatrics ; Personnel, Hospital ; Public health. Hygiene-occupational medicine ; Respiration, Artificial - instrumentation ; Vasodilator Agents - administration & dosage ; Vasodilator Agents - analysis</subject><ispartof>Pediatrics (Evanston), 1999-11, Vol.104 (5), p.1095-1100</ispartof><rights>2000 INIST-CNRS</rights><rights>COPYRIGHT 1999 American Academy of Pediatrics</rights><rights>COPYRIGHT 1999 American Academy of Pediatrics</rights><rights>Copyright American Academy of Pediatrics Nov 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c563t-58e7ddf373cc39c3f0e4f94d90fe0eca7a723982e4e26888f7a59e354f7ec5f43</citedby><cites>FETCH-LOGICAL-c563t-58e7ddf373cc39c3f0e4f94d90fe0eca7a723982e4e26888f7a59e354f7ec5f43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1259963$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10545553$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Phillips, Margaret L</creatorcontrib><creatorcontrib>Hall, Thomas A</creatorcontrib><creatorcontrib>Sekar, Krishnamurthy</creatorcontrib><creatorcontrib>Tomey, Jeanine L</creatorcontrib><title>Assessment of Medical Personnel Exposure to Nitrogen Oxides During Inhaled Nitric Oxide Treatment of Neonatal and Pediatric Patients</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>This study was an assessment of potential exposures of medical personnel to nitrogen oxides during simulated and actual inhaled nitric oxide treatment of newborn and pediatric patients.
Breathing zone exposures to nitric oxide (NO) and nitrogen dioxide (NO(2)) were monitored using data-logging personal dosimeters during simulated and actual administration of NO gas to patients in an intensive care setting. Sample. A total of 28 bedside nurses and 18 respiratory therapists were monitored during 6 different patient treatments.
The highest measured concentrations of NO and NO(2) in the personal breathing zones of the nurses and respiratory therapists were peak readings (<1 minute in duration) of 6.7 parts per million (ppm) NO and 3.1 ppm NO(2). Exposures averaged throughout 15 minutes and throughout the work shift were below the limit of detection (0.8-ppm NO and 0.5-ppm NO(2)).
Detectable exposures to NO and NO(2) were brief, infrequent, and well below Occupational Safety and Health Administration permissible exposure limits or any other exposure guideline, eg, American Conference of Governmental Hygienists Threshold Limit Values.</description><subject>Administration, Inhalation</subject><subject>Air Pollutants, Occupational - analysis</subject><subject>Biological and medical sciences</subject><subject>Chemical compounds (mineral, organic)</subject><subject>Chemical, physic and infectious diseases</subject><subject>Environmental aspects</subject><subject>Environmental Monitoring</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Intensive Care Units, Neonatal</subject><subject>Intensive Care Units, Pediatric</subject><subject>Medical personnel</subject><subject>Medical sciences</subject><subject>Nitric oxide</subject><subject>Nitric Oxide - administration & dosage</subject><subject>Nitric Oxide - analysis</subject><subject>Nitrogen</subject><subject>Occupational Exposure</subject><subject>Occupational medicine</subject><subject>Occupational safety</subject><subject>Pediatrics</subject><subject>Personnel, Hospital</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Respiration, Artificial - instrumentation</subject><subject>Vasodilator Agents - administration & dosage</subject><subject>Vasodilator Agents - analysis</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0kFv0zAUB3ALgVgZnLmhCHHgsHRObNfJsSpjTCrrDuNsGfs59ZTaxXZEufPBcZeirVIVKU7in9-TnT9C7ys8rRitL7eg47TCdMryvWUv0CQPTUlrzl6iCcakKinG7Ay9ifEBY0wZr1-jswozyhgjE_R3HiPEuAGXCm-K76Ctkn1xByF656AvrnZbH4cARfLFrU3Bd-CK1c5qiMWXIVjXFTduLXvQj9NWjZPFfQCZ_pe9Be9kynWl07m2tvJR3slks4hv0Ssj-wjvDuM5-vH16n7xrVyurm8W82Wp2IykkjXAtTaEE6VIq4jBQE1LdYsNYFCSS16TtqmBQj1rmsZwyVogjBoOihlKztHHse42-F8DxCQe_BBcbinquslLZ5hkdDGiLm9KWGd8ClLlXUOQvXdgbP48Z5y3vKpZ5uUJni8NG6tO-c9HPpMEu9TJIUbRXC-P6MUpqnzfQwciH81idcQvR66CjzGAEdtgNzL8ERUW-7SIfVryCxVM7NOSV3w4nMfwcwP6mR_jkcGnA5Axx8IE6ZSNT65mbTsjT53Xtlv_tgH2ncZ_HJ89Puv8D-qH2EI</recordid><startdate>19991101</startdate><enddate>19991101</enddate><creator>Phillips, Margaret L</creator><creator>Hall, Thomas A</creator><creator>Sekar, Krishnamurthy</creator><creator>Tomey, Jeanine L</creator><general>Am Acad Pediatrics</general><general>American Academy of Pediatrics</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope></search><sort><creationdate>19991101</creationdate><title>Assessment of Medical Personnel Exposure to Nitrogen Oxides During Inhaled Nitric Oxide Treatment of Neonatal and Pediatric Patients</title><author>Phillips, Margaret L ; Hall, Thomas A ; Sekar, Krishnamurthy ; Tomey, Jeanine L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-58e7ddf373cc39c3f0e4f94d90fe0eca7a723982e4e26888f7a59e354f7ec5f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Administration, Inhalation</topic><topic>Air Pollutants, Occupational - analysis</topic><topic>Biological and medical sciences</topic><topic>Chemical compounds (mineral, organic)</topic><topic>Chemical, physic and infectious diseases</topic><topic>Environmental aspects</topic><topic>Environmental Monitoring</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Intensive Care Units, Neonatal</topic><topic>Intensive Care Units, Pediatric</topic><topic>Medical personnel</topic><topic>Medical sciences</topic><topic>Nitric oxide</topic><topic>Nitric Oxide - administration & dosage</topic><topic>Nitric Oxide - analysis</topic><topic>Nitrogen</topic><topic>Occupational Exposure</topic><topic>Occupational medicine</topic><topic>Occupational safety</topic><topic>Pediatrics</topic><topic>Personnel, Hospital</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Respiration, Artificial - instrumentation</topic><topic>Vasodilator Agents - administration & dosage</topic><topic>Vasodilator Agents - analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Phillips, Margaret L</creatorcontrib><creatorcontrib>Hall, Thomas A</creatorcontrib><creatorcontrib>Sekar, Krishnamurthy</creatorcontrib><creatorcontrib>Tomey, Jeanine L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Phillips, Margaret L</au><au>Hall, Thomas A</au><au>Sekar, Krishnamurthy</au><au>Tomey, Jeanine L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of Medical Personnel Exposure to Nitrogen Oxides During Inhaled Nitric Oxide Treatment of Neonatal and Pediatric Patients</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>1999-11-01</date><risdate>1999</risdate><volume>104</volume><issue>5</issue><spage>1095</spage><epage>1100</epage><pages>1095-1100</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>This study was an assessment of potential exposures of medical personnel to nitrogen oxides during simulated and actual inhaled nitric oxide treatment of newborn and pediatric patients.
Breathing zone exposures to nitric oxide (NO) and nitrogen dioxide (NO(2)) were monitored using data-logging personal dosimeters during simulated and actual administration of NO gas to patients in an intensive care setting. Sample. A total of 28 bedside nurses and 18 respiratory therapists were monitored during 6 different patient treatments.
The highest measured concentrations of NO and NO(2) in the personal breathing zones of the nurses and respiratory therapists were peak readings (<1 minute in duration) of 6.7 parts per million (ppm) NO and 3.1 ppm NO(2). Exposures averaged throughout 15 minutes and throughout the work shift were below the limit of detection (0.8-ppm NO and 0.5-ppm NO(2)).
Detectable exposures to NO and NO(2) were brief, infrequent, and well below Occupational Safety and Health Administration permissible exposure limits or any other exposure guideline, eg, American Conference of Governmental Hygienists Threshold Limit Values.</abstract><cop>Elk Grove Village, IL</cop><pub>Am Acad Pediatrics</pub><pmid>10545553</pmid><doi>10.1542/peds.104.5.1095</doi><tpages>6</tpages></addata></record> |
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| subjects | Administration, Inhalation Air Pollutants, Occupational - analysis Biological and medical sciences Chemical compounds (mineral, organic) Chemical, physic and infectious diseases Environmental aspects Environmental Monitoring Health aspects Humans Infant, Newborn Intensive Care Units, Neonatal Intensive Care Units, Pediatric Medical personnel Medical sciences Nitric oxide Nitric Oxide - administration & dosage Nitric Oxide - analysis Nitrogen Occupational Exposure Occupational medicine Occupational safety Pediatrics Personnel, Hospital Public health. Hygiene-occupational medicine Respiration, Artificial - instrumentation Vasodilator Agents - administration & dosage Vasodilator Agents - analysis |
| title | Assessment of Medical Personnel Exposure to Nitrogen Oxides During Inhaled Nitric Oxide Treatment of Neonatal and Pediatric Patients |
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