Turkiye Klinikleri Journal of Anesthesiology Reanimation

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Ameliyathane Çalışanları ve Kardiyotoksisite: Geleneksel Derleme
Operating Room Employees and Cardiotoxicity: Traditional Review
Sevtap HEKİMOĞLU ŞAHİNa, Murat ŞAHİNb
aTrakya Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon ABD, Edirne, Türkiye
bEdirne Sultan 1. Murat Devlet Hastanesi, Edirne, Türkiye
Turkiye Klinikleri J Anest Reanim. 2023;21(1):28-34
doi: 10.5336/anesthe.2022-93743
Article Language: TR
Full Text
ÖZET
 Ameliyathaneler, sağlık hizmetinin verildiği vazgeçilmez alanlar olmakla beraber ameliyathane çalışanlarında tedavi uygulamalarına bağlı sağlık sorunlarının geliştiği bilinmektedir. Çalışma saatlerini tamamıyla ameliyathanede geçiren sağlık çalışanlarının çevre kirliliğine maruziyeti, hastaların operasyon için almak zorunda kaldığı ilaçlara bağlı gelişen toksisite kadar önemlidir. Mesleki toksisite, işyeri ortamında karşılaşılan veya maruz kalınan fiziksel, kimyasal ve biyolojik etkenlere bağlı olarak gelişen istenmeyen etkileri inceleyen toksikoloji alt dalıdır. Mesleki kaynaklı hastalıklar, hastalık sürecini etkileyen kişisel ve çevresel etmenler ile birlikte çok etmenli olabilir. Kardiyovasküler hastalığın nedenlerini ortaya koymakta güçlükler olmasına rağmen mesleki kardiyovasküler sistem hastalıkları gelişen teknolojinin insan hayatına yansıması ile giderek artmaktadır. Özellikle ameliyathane çalışma ortamlarında hasta için uygulanan inhalasyon ajanlarına sürekli maruz kalmak, elektrokoter ve laser ablasyon kullanımında oluşan cerrahi duman, stres, cihazların gürültülü çalışmaları, skopi çekimleri ve operasyon odası dışındaki nakil araçlarının kullanımı sırasında oluşan vibrasyon sağlık çalışanları için kardiyotoksisite için risk oluşturmaktadır. Bu etkenlerin birden fazlasına aynı ortamda maruziyet sorunlara neden olabilmektedir. Çevresel toksik maruziyetler haricinde stres ve kapalı alanda çalışmak da kardiyotoksisite için riski arttırıcı rol oynamaktadır. Bunun yanı sıra ameliyathane çalışanlarında spontan abortus, infertilite, hematolojik hastalıklar, karaciğer hastalıkları ve psikomotor bozukluklar ve ameliyathane çalışanlarının çocuklarında konjenital malformasyonlar gelişebilmektedir. Bu derlemede amacımız ameliyathane çalışanlarında maruz kalınan etkenlere bağlı gelişebilecek kardiyotoksisiteyi gözden geçirilmektir.

Anahtar Kelimeler: Mesleki toksisite; kardiyotoksisite; inhalasyon ajanları; anestezik ajanlar
ABSTRACT
 Operating rooms are indispensable areas where health services are provided. However, it is known that health problems related to treatment practices develop in operating room workers. Exposure of health workers who spend their working hours in the operating room to environmental pollution is as important as the toxicity that develops due to the drugs that the patients have to take for the operation. In this sense, occupational toxicity is a sub-branch of toxicology that examines the undesirable effects that develop due to physical, chemical and biological factors encountered or exposed in the workplace environment. Occupational diseases can be multifactorial, with personal and environmental factors affecting the disease process. Although there are difficulties in revealing the causes of cardiovascular disease, occupational cardiovascular system diseases are increasing with the reflection of developing technology on human life. Continuous exposure to inhalation agents applied to the patient, especially in the operating room working environments, surgical smoke caused by the use of electrocautery and laser ablation, stress, noisy operation of the devices, scopy shots and vibration during the use of transport vehicles outside the operation room pose a risk for cardiotoxicity for healthcare workers. Exposure to more than one of these factors in the same environment can cause problems. Apart from environmental toxic exposures, stress and working indoors also play a role in increasing the risk for cardiotoxicity. In addition, spontaneous abortion, infertility, hematological diseases, liver diseases and psychomotor disorders in operating room workers and congenital malformations in their children may develop. In this review, our aim is to review cardiotoxicity that may develop due to exposure factors in operating room workers.

Keywords: Occupational toxicity; cardiotoxicity; inhalation agents; anesthetic agents
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