{"id":{"repo_id":"aachen","oai_identifier":"oai:publications.rwth-aachen.de:50318"},"canonical_url":"https://search.dev.ndltd.org/etd/aachen/oai:publications.rwth-aachen.de:50318","repository":{"repo_id":"aachen","name":"RWTH Aachen University","base_url":"https://publications.rwth-aachen.de/oai2d"},"display":{"title":"Anesthetic conserving device : Arbeitsplatzbelastung und praktische Umsetzung","abstract":"This thesis consists of two parts: In the first part, the goal is to determine the actual degree of gas exposure for personnel in the Intensive Care Unit (ICU) by using the Anesthetic Conserving Device® (AnaConDa®). Therefore, three different test methods were used in the laboratory at the University of Ulm. The different testing methods and results regarding AnaConDa® are as follows: For the first method (Measurement 1) gas suction was added to AnaConDa® to reduce gas leakage into the air. In the second method (Measurement 2/3), AnaConDa® was used entirely by itself, and in the third method (Measurement 4), an active carbon filter was added to AnaConDa®. The results of all mean measurements revealed a significant difference (mean of measurement (1) is 3,96ppm [SD 2,91], mean measurement (2/3) 10,95ppm [SD 2,08], mean measurement (4) 7,55ppm [SD 2,82]). This shows that the pollution with the use of additional gas suctioning is significantly lower than the use of AnaConDa® with or without any filtering device. Based on these results the second part of this thesis then looked at the possibility and feasibility of integrating safer apparatus for the use of volatile anesthetics in various hospitals to enhance the safety for medical personnel in the ICU. Taking into consideration the local environmental conditions in which AnaConDa® could be used (room size, existing air filtration, usage of suction devices for anesthetic gases, as well as the number of patients on or off respiratory devices in the ICU, medical personnel working in the ICU, and type of injuries and illnesses) three different hospitals (Klinikum Rechts der Isar, Munich [MRI]; the Military Hospital Ulm [BWK Ulm]; and the Berufsgenoessische Klinik Bergmannstrost, Halle [BG Halle]) have been selected to examine their existing or non existing safety devices for the usage of AnaConDa®. At this time, none of the above hospitals has gas suction devices and none of them are using AnaConDa® or other devices with volatile agents. Theoretically, it would be both necessary and possible to integrate gas suction devices in these ICUs. But this would mean a great expense especially in BG Halle and MRI. Since previously published papers support the use of volatile agents for sedation in the ICU, it would be highly advisable to require gas suction devices in new constructions of future ICUs.","abstract_html":"This thesis consists of two parts: In the first part, the goal is to determine the actual degree of gas exposure for personnel in the Intensive Care Unit (ICU) by using the Anesthetic Conserving Device® (AnaConDa®). Therefore, three different test methods were used in the laboratory at the University of Ulm. The different testing methods and results regarding AnaConDa® are as follows: For the first method (Measurement 1) gas suction was added to AnaConDa® to reduce gas leakage into the air. In the second method (Measurement 2/3), AnaConDa® was used entirely by itself, and in the third method (Measurement 4), an active carbon filter was added to AnaConDa®. The results of all mean measurements revealed a significant difference (mean of measurement (1) is 3,96ppm [SD 2,91], mean measurement (2/3) 10,95ppm [SD 2,08], mean measurement (4) 7,55ppm [SD 2,82]). This shows that the pollution with the use of additional gas suctioning is significantly lower than the use of AnaConDa® with or without any filtering device. Based on these results the second part of this thesis then looked at the possibility and feasibility of integrating safer apparatus for the use of volatile anesthetics in various hospitals to enhance the safety for medical personnel in the ICU. Taking into consideration the local environmental conditions in which AnaConDa® could be used (room size, existing air filtration, usage of suction devices for anesthetic gases, as well as the number of patients on or off respiratory devices in the ICU, medical personnel working in the ICU, and type of injuries and illnesses) three different hospitals (Klinikum Rechts der Isar, Munich [MRI]; the Military Hospital Ulm [BWK Ulm]; and the Berufsgenoessische Klinik Bergmannstrost, Halle [BG Halle]) have been selected to examine their existing or non existing safety devices for the usage of AnaConDa®. At this time, none of the above hospitals has gas suction devices and none of them are using AnaConDa® or other devices with volatile agents. Theoretically, it would be both necessary and possible to integrate gas suction devices in these ICUs. But this would mean a great expense especially in BG Halle and MRI. Since previously published papers support the use of volatile agents for sedation in the ICU, it would be highly advisable to require gas suction devices in new constructions of future ICUs.","abstract_has_math":false,"creators":["Biener, Ingeborg Anna Elisabeth"],"institution":"Publikationsserver der RWTH Aachen University","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Marx, Thomas R. 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Therefore, three different test methods were used in the laboratory at the University of Ulm. The different testing methods and results regarding AnaConDa® are as follows: For the first method (Measurement 1) gas suction was added to AnaConDa® to reduce gas leakage into the air. In the second method (Measurement 2/3), AnaConDa® was used entirely by itself, and in the third method (Measurement 4), an active carbon filter was added to AnaConDa®. The results of all mean measurements revealed a significant difference (mean of measurement (1) is 3,96ppm [SD 2,91], mean measurement (2/3) 10,95ppm [SD 2,08], mean measurement (4) 7,55ppm [SD 2,82]). This shows that the pollution with the use of additional gas suctioning is significantly lower than the use of AnaConDa® with or without any filtering device. Based on these results the second part of this thesis then looked at the possibility and feasibility of integrating safer apparatus for the use of volatile anesthetics in various hospitals to enhance the safety for medical personnel in the ICU. Taking into consideration the local environmental conditions in which AnaConDa® could be used (room size, existing air filtration, usage of suction devices for anesthetic gases, as well as the number of patients on or off respiratory devices in the ICU, medical personnel working in the ICU, and type of injuries and illnesses) three different hospitals (Klinikum Rechts der Isar, Munich [MRI]; the Military Hospital Ulm [BWK Ulm]; and the Berufsgenoessische Klinik Bergmannstrost, Halle [BG Halle]) have been selected to examine their existing or non existing safety devices for the usage of AnaConDa®. At this time, none of the above hospitals has gas suction devices and none of them are using AnaConDa® or other devices with volatile agents. Theoretically, it would be both necessary and possible to integrate gas suction devices in these ICUs. But this would mean a great expense especially in BG Halle and MRI. Since previously published papers support the use of volatile agents for sedation in the ICU, it would be highly advisable to require gas suction devices in new constructions of future ICUs."]},{"key":"dc:source","label":"Dc Source","values":["Aachen : Publikationsserver der RWTH Aachen University II, 48 S. : Ill., graph. Darst. (2008). = Aachen, Techn. Hochsch., Diss., 2008"]},{"key":"dc:title","label":"Title","values":["Anesthetic conserving device : Arbeitsplatzbelastung und praktische Umsetzung"]}]}],"canonical_facts":{"dc:contributor":["Marx, Thomas R. 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This shows that the pollution with the use of additional gas suctioning is significantly lower than the use of AnaConDa® with or without any filtering device. Based on these results the second part of this thesis then looked at the possibility and feasibility of integrating safer apparatus for the use of volatile anesthetics in various hospitals to enhance the safety for medical personnel in the ICU. Taking into consideration the local environmental conditions in which AnaConDa® could be used (room size, existing air filtration, usage of suction devices for anesthetic gases, as well as the number of patients on or off respiratory devices in the ICU, medical personnel working in the ICU, and type of injuries and illnesses) three different hospitals (Klinikum Rechts der Isar, Munich [MRI]; the Military Hospital Ulm [BWK Ulm]; and the Berufsgenoessische Klinik Bergmannstrost, Halle [BG Halle]) have been selected to examine their existing or non existing safety devices for the usage of AnaConDa®. At this time, none of the above hospitals has gas suction devices and none of them are using AnaConDa® or other devices with volatile agents. Theoretically, it would be both necessary and possible to integrate gas suction devices in these ICUs. But this would mean a great expense especially in BG Halle and MRI. Since previously published papers support the use of volatile agents for sedation in the ICU, it would be highly advisable to require gas suction devices in new constructions of future ICUs."],"dc:identifier":["https://publications.rwth-aachen.de/record/50318","https://publications.rwth-aachen.de/search?p=id:%22RWTH-CONV-112867%22"],"dc:language":["ger"],"dc:publisher":["Publikationsserver der RWTH Aachen University"],"dc:relation":["info:eu-repo/semantics/altIdentifier/urn/urn:nbn:de:hbz:82-opus-25422"],"dc:rights":["info:eu-repo/semantics/openAccess"],"dc:source":["Aachen : Publikationsserver der RWTH Aachen University II, 48 S. : Ill., graph. Darst. (2008). = Aachen, Techn. 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