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[Clinico-anamnestic survey in health professionals exposed to volatile anesthetics].

The authors describe the results of a preliminary clinical survey of a group of 220 health workers, physicians and 151 nursing and auxiliary staff members of a large regional hospital in Lombardia, who are exposed to volatile anaesthetics. Contact dermatitis, varices of the legs and arthrosis, particularly that of the cervical and lumbar tract, are the most frequently reported disease in our population. In 75% of cases these disturbances arose after the beginning of the job working in the operating-theatres. When compared with a control group there was a statistically significant difference for contact dermatitis (p less than 0.01) and cervical tract arthrosis (p less than 0.02). The statistical comparison among the subjects exposed to the anaesthetics gases, who were stratified on the basis of the level of exposure and of seniority, confirms a higher prevalence of symptoms due to a reduction of alertness and of psychological and psychomotorial performances in the more exposed personnel. The comparison between female staff exposed and not-exposed to the gases did not show an increase of abortivity, while a statistically significant difference was evident between the female staff (either exposed or not-exposed) and the wives of male workers not exposed to the anaesthetics gases.

Adult↗

Experience as a factor in the efficacy of the surgical scrub.

The efficacy of the preoperative surgical scrub has been studied extensively throughout the years. However, to the best of the authors' knowledge, this is the first comparative study between surgeons, residents, operating room personnel, and medical students. This paper demonstrates the efficacy of the surgical scrub and the differences between these groups, as well as presents a simple method of monitoring the effectiveness of the surgical scrub in vivo.

Asepsis↗

Preventing transmission of human immunodeficiency virus during operations.

Preventing the transmission of human immunodeficiency virus during surgical procedures requires attention to barrier techniques and to measures designed to prevent injury. Measures to prevent injury must focus on minimizing both the number of people at risk and the opportunities for injury to occur. Special rules are suggested to make surgical team movements more choreographed and deliberate to reduce the opportunities for collisions between hands and sharp instruments.

Acquired Immunodeficiency Syndrome↗

Yesterday's O.R.

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Humans↗