Environmental and biological measurements of the anesthetic isoflurane and its possible toxic effects in veterinarians.

Tony F Grassi, Mariane A P Silva, Maria V Destro, Bruno S De Martinis, Leandro G Braz, Mariana G Braz
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Abstract

We evaluated both environmental (workplace) and biological (urine) exposure to the anesthetic isoflurane concerning the effects of such exposure on the hematological, hepatic, and renal parameters in veterinarians. Samples were collected from exposed and nonexposed (volunteers) groups to assess hematological and several biochemical markers, and isoflurane was measured in the workplace air and veterinarian's urine. Isoflurane was detected at high levels in the air and urine. No differences were observed in hematological parameters between the groups, although the number of monocytes increased among veterinarians, values were within the normal range. No significant differences were found in the hepatic enzymes or renal parameters between the groups, and all marker levels were within the normal range. In conclusion, urinary isoflurane is a suitable internal biomarker for monitoring occupational exposure and is associated with veterinary workplace measurements, and that occupational exposure is not associated with abnormal hematological or biochemical changes in veterinarians.

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麻醉剂异氟醚的环境和生物测量及其对兽医可能产生的毒性影响。
我们评估了环境(工作场所)和生物(尿液)接触麻醉剂异氟醚对兽医血液学、肝脏和肾脏参数的影响。从暴露组和非暴露组(志愿者)中采集样本,评估血液学指标和几种生化指标,并测量工作场所空气和兽医尿液中的异氟烷含量。在空气和尿液中检测到了高浓度的异氟烷。虽然兽医的单核细胞数量有所增加,但各组之间的血液学参数并无差异,数值均在正常范围内。各组之间的肝酶或肾参数没有发现明显差异,所有标记物水平都在正常范围内。总之,尿中异氟醚是监测职业暴露的合适内部生物标志物,与兽医工作场所的测量结果相关,职业暴露与兽医的血液学或生化异常变化无关。
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