Anesthetic Waste Gas Scavenging
Adopted: February 9, 2010
Last updated: March 12, 2012
The purpose of this policy is to protect the health of persons working with or near anesthetic gases used in animals at The University of Montana. Volatile anesthetic waste gases should be minimized through training in anesthetic administration, using the smallest amount of anesthesia necessary, maintaining anesthetic equipment in proper working order, scavenging anesthetic waste gases, and monitoring worker exposure.
Approved Inhalant Anesthetic Agents
Isoflurane and sevoflurane are approved volatile halogenated anesthetic agents at The University of Montana. Both may be used for anesthesia. Isoflurane may also be used for euthanasia with proper approval from the Institutional Animal Care and Use Committee.
Nitrous oxide is not approved for use in any facilities at The University of Montana. Its primary indication in veterinary medicine is as an adjunct to inhalant anesthesia for added relaxation and analgesia. However, there are a variety of alternative injectable sedatives and analgesics that are efficacious and do not present health risks to personnel.
Training to ensure the safety of animals being anesthetized and of the persons in the area must be provided by the principal investigator (PI), Laboratory Animal Resources (LAR) staff, or a trained and experienced scientific laboratory member approved under the animal use protocol (AUP). Training should include checking the anesthetic circuit for leaks, operating vaporizers at their lowest settings necessary for maintaining adequate anesthesia, use of scavenging equipment, and animal monitoring.
Vaporizers are fully cleaned and calibrated by an authorized exchange service center every other year through SurgiVer, Smiths Medical ASD, Inc, Veterinary Division, St. Paul Minnesota. In the years years between the exchange, vaporizers are examined by a certified technician using leak and delivery accuracy testing on site (Anesthesia Equipment Supply, Inc, Black Diamond, WA). In both cases, vaporizers are marked with a sticker indicating the date of testing or the date of next needed maintenance. Maintenance is scheduled through LAR or verification provided in writing to the Director of LAR.
Waste Gas Scavenging
When using an anesthetic vaporizer, waste gas should be scavenged actively through a house vacuum, passively using a charcoal canister, or actively and passively [e.g., active anesthetic evacuation system (A.E.S., Surgivet) feeding a charcoal canister]. Endotracheal tubes should have cuffs to prevent leakage, and animal face masks should fit snugly.
When using the open-drop method (e.g., closed jar containing gauze with anesthetic dripped on it), best practice is to perform this work in a certified fume hood. If a fume hood is not available and the open-drop method is done on an open counter-top, the volume of anesthetic should be minimized and measured, rather than poured directly from the bottle. Care should be taken to ensure that the liquid anesthetic does not directly contact the animal.
Worker Exposure Monitoring
In the absence of established national guidelines for isoflurane and sevoflurane exposure (see below), it is our practice to use 2 ppm as an institutional recommended exposure limit (REL). Monitoring of personnel using badges clipped to clothing in the breathing zone will be done for all new anesthetic equipment and each new area of anesthetic use to verify that typical exposures are below the REL. Changes in equipment or experimental conditions warrant additional monitoring. It is the responsibility of the PI to inform the IACUC of such changes.
The United States Department of Labor, Occupational Safety and Health Administration has published a document entitled "Anesthetic Gases: Guidelines for Workplace Exposures" at http://www.osha.gov/dts/osta/anestheticgases/index.html#I. According to this document,
"In 1997, the National Institute for Occupational Safety and Health (NIOSH) . . . recommended that no worker should be exposed at ceiling concentrations greater than 2 ppm of any halogenated anesthetic agent over a sampling period not to exceed one hour (NIOSH 1977). In 1989, the American Conference of Governmental Industrial Hygienists (ACGIH) assigned a threshold limit value-time-weighted average (TLV-TWA) for . . . halothane and enflurane, and are 50 ppm and 75 ppm, respectively. No NIOSH recommended exposure limits (REL) exist for the three most currently used anesthetics (isoflurane, desflurane, and sevoflurane). The levels of risk for isoflurane, desflurane, and sevoflurane have not been established. Since there are limited data, occupational exposure limits for these agents have not been determined. Therefore, until more information is available, it is prudent to attempt to minimize occupational exposure to these as with all anesthetic agents."