Anesthetic drugs & techniques

Report of the 2022 Perfusion Perspectives of Waste Anesthetic Gas Exposure Survey

J Cardiothorac Vasc AnesthPublished Cross-sectional study

Authors' conclusion

Our findings identify a gap between AmSECT guidelines and current perfusionist behavior and suggest potential strategies for reducing WAG leakage during CPB.

Study context

Population
Self-identified board-eligible perfusionist members of American Society of Extracorporeal Technology (AmSECT), the American Academy of Cardiovascular Perfusion, and the Maryland and Wisconsin State Perfusion Societies in 2022of 4,303 surveyed (8.5%)
Participants
365 members
Outcome
Waste anesthetic gas (WAG) management during CPB
Methodological detailsweb-based survey, 26-question questionnaire
  • Web-based survey
  • 26-question questionnaire

Main finding

As reported in the abstract

Routinely administered inhaled anesthetics via the oxygenator (335/364)

92%

Routinely scavenged waste anesthetic gas (WAG) during cardiopulmonary bypass (CPB) cases (259/354)

73.2%

Conducted environmental monitoring for WAG levels (22/336)

6.6%

Observational data: associations, not effects.

Original publication

Report of the 2022 Perfusion Perspectives of Waste Anesthetic Gas Exposure Survey. J Cardiothorac Vasc Anesth. Published 6 May 2024. doi:10.1053/j.jvca.2024.05.005

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