Anesthetic gases

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  • An anesthetic agent is a drug that brings about a state of anesthesia. A wide variety of drugs are used in modern anesthetic practice. Many are rarely used outside of anesthesia, although others are used commonly by all disciplines.
  • Types of anesthesia include local anesthesia, regional anesthesia, general anesthesia, and dissociative anesthesia.
  • Local anesthesia inhibits sensory perception within a specific location on the body, such as a tooth or the urinary bladder.
  • Regional anesthesia renders a larger area of the body insensate by blocking transmission of nerve impulses between a part of the body and the spinal cord.
  • Two frequently used types of regional anesthesia are spinal anesthesia and epidural anesthesia.
  • General anesthesia refers to inhibition of sensory, motor and sympathetic nerve transmission at the level of the brain, resulting in unconsciousness and lack of sensation.
  • Dissociative anesthesia uses agents that inhibit transmission of nerve impulses between higher centers of the brain (such as the cerebral cortex) and the lower centers, such as those found within the limbic system.
  • The anesthetic gas emissions from 1100 hospitals across Canada per year are estimated to be over 1.1 million tonnes of CO2 equivalent.
  • The anesthetic gases and vapors that leak into the surrounding room during medical procedures are considered waste anesthetic gases.
  • It is estimated that more than 250,000 health care professionals who work in hospitals, operating rooms, dental offices and veterinary clinics, are potentially exposed to waste anesthetic gases and are at risk of occupational illness.
  • The waste anesthetic gases and vapors of concern are nitrous oxide and halogenated agents (vapors) such as halothane, enflurane, isoflurane, and desflurane.
  • Some potential effects of exposure to waste anesthetic gases are nausea, dizziness, headaches, fatigue, and irritability, as well as sterility, miscarriages, birth defects, cancer, and liver and kidney disease, among operating room staff or their spouses (in the case of miscarriages and birth defects).

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