Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1590/S0034-70942012000200011
Brazilian Journal of Anesthesiology
Review Article

Exposição ocupacional a poluição sonora em anestesiologia

Occupational exposure to noise pollution in anesthesiology

Carlos Rogério Degrandi Oliveira; Gilberto Walter Nogueira Arenas

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Resumo

JUSTIFICATIVA E OBJETIVOS: Os efeitos nocivos da poluição sonora em ambientes de trabalho são bem conhecidos e descritos na literatura. Os efeitos da exposição prolongada a ruídos em áreas que demandam alto nível de concentração, como as salas de operações, dependem da variabilidade nas respostas individuais e da intensidade das diferentes fontes geradoras. O objetivo deste trabalho é apresentar uma revisão sobre a exposição ocupacional a poluição sonora em Anestesiologia. CONTEÚDO: São discutidos os resultados dos principais artigos da literatura sobre o tema, envolvendo as fontes de poluição sonora e seus efeitos sobre os profissionais, em especial o anestesiologista. É dada ênfase a legislação e as recomendações para a minimização dos efeitos imputados à poluição sonora.

Palavras-chave

ANESTESIOLOGIA, DOENÇAS

Abstract

BACKGROUND AND OBJECTIVES: The harmful effects of workplace noise pollution are well known and described in the literature. The effects of prolonged exposure to noise in areas demanding high level of concentration, such as operating rooms, depend on the variability of individual responses and intensity of different generation sources. The aim of this paper is to present a review of occupational exposure to noise in anesthesiology. CONTENT: The results of the main articles in literature on the subject are discussed, concerning the sources of noise pollution and its effects on workers, particularly the anesthesiologist. Emphasis is given to legislation and recommendations to minimize the effects caused by noise.

Keywords

Anesthesia Department, Occupational Exposure, Occupational Exposure

Referencias

Shapiro RA, Berland T. Noise in the operating room. N Engl J Med. 1972;287:1236-1238.

Falk AS, Woods NF. Hospital noise levels and potential health hazards. N Eng J Med. 1973;289:774-781.

Murthy VSSN, Malhotra SK, Bala I. Detrimental effects of noise on anaesthetists. Can J Anaesth. 1995;42(7):608-611.

Occupational Noise Exposure: Revised Criteria 1998. .

James RH. 1000 anaesthetic incidents: experience to date. Anaesthesia. 2003;58:856-863.

Allaouchiche B, Duflo F, Debon R. Detrimental effects of noise on anaesthetists. Br J Anaesth. 2002;88:369-373.

Nazir T, Beatty PCW. Anaesthetists attitudes to monitoring instrument design options. Br J Anaesth. 2000;85:781-784.

Weinger MB, Englund CE. Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. Anesthesiology. 1990;73:995-1021.

Hagenouw RRPM. Should we be alarmed by our alarms?. Curr Opin Anaesthesiol. 2007;20:590-594.

Seagull FJ, Sanderson PM. The trojan horse of the operating room: Alarms and the noise of anesthesia. Misadventures in Health Care: Inside Stories. 2004:105-125.

Beatty PCW, Beatty SF. Anaesthetists intentions to violate safety guidelines. Anaesthesia. 2004;59:528-540.

Catalano K. Clinical alarms management and the JCAHO standards. Biomed Instrum Techol. 2005:11-12.

Stoelting RK. APSF Stresses Use of Audible Monitor Alarms. ASA Newsletter. 2004;68(6):25-26.

Block Jr FE, Nuutinen L, Ballast B. Optimization of alarms: a study on alarm limits, alarm sounds, and false alarms, intended to reduce annoyance. J Clin Monit Comput. 1999;15:75-83.

Block Jr FE. "For if the trumpet give an uncertain sound, who shall prepare himself to the battle?"(I Corinthians 14:8, KJV). Anesth Analg. 2008;106:357-359.

Wee AN, Sanderson PM. Are melodic medical equipment alarms easily learned?. Anesth Analg. 2008;106:501-508.

Lee HK, Lee EH, Choi JY. Noise level of drilling instruments during mastoidectomy. Yonsei Med J. 1999;40(4):339-342.

Sesay M, Tauzin-Fin P, Verdonck O. Acoustic noise during magnetic resonance imaging (MRI): Its interference with anesthesia alarm sounds. ASA Abstracts. Octo.

Sesay M, Tauzin-Fin P, Aude J. Audibility of anaesthesia alarms during magnetic resonance imaging: should we be alarmed?. Eur J Anaesth. 2009;26(2):117-122.

Lusk RP, Tyler RS. Hazardous sound levels produced by extracorporeal shock wave lithotripsy. J Urol. 1987;137(6):1113-1114.

Kracht JM, Busch-Vishniac IJ, West JE. Noise in the operating rooms of Johns Hopkins Hospital. J Acoust Soc Am. 2007;121(5):2673-2680.

Kamal SA. Orthopedic theatres: A possible noise hazard?. J Laryngol Otol. 1982;96(11):985-990.

Holmes GB, Laundau-Goodman K, Hang DW. Noise levels of orthopedic instruments and their potential health risks. Orthopedics. 1996;19(1):35-37.

Dodenhoff RM. Noise in the orthopedic operating theatre. Ann R Coll Surg Engl. 1995;77(^s1):8-9.

Nott MR, West PD. Orthopaedic theatre noise: a potential hazard to patients. Anaesthesia. 2003;58(8):775-803.

Willett KM. Noise-induced hearing loss in orthopedic staff. J Bone Joint Surg Br. 1991;73(1):113-115.

Love H. Noise exposure in the orthopedic theatre: a significant health hazard. ANZ J Surg. 2003;73(10):836-838.

Pearlman RT, Sandidge O. Noise Characteristics of Surgical Space Suits. Orthopedics. 2009;32:825.

Braz JRC, Vane LA, Silva AE. Risco Profissional do Anestesiologista. Tratado de Anestesiologia. 2006:69-76.

Siu K, Suh I, Mukherjee M. The impact of environmental noise on robot-assisted laparoscopic surgical performance. Surgery. 2010;147(1):107-113.

Moorthy K, Munz Y, Dosis A. The effect of stress-inducing conditions on the performance of a laparoscopic task. Surg Endosc. 2003;17:1481-1484.

Moorthy K, Munz Y, Jiwanji M. Performance and error analysis under multiple stress inducing conditions. Br J Surg. 2003;90:630.

Moorthy K, Munz Y, Undre S. Objective evaluation of the effect of noise on the performance of a complex laparoscopic task. Surgery. 2004;136:25-30.

Hsu KE, Man FY, Gizicki RA. Experienced surgeons can do more than one thing at a time: effect of distraction on performance of a simple laparoscopic and cognitive task by experienced and novice surgeons. Surg Endosc. 2008;22:196-201.

Penney PJ, Earl CE. Occupational noise and effects on blood pressure: Exploring the relationship of hypertension and noise exposure in workers. AAOHN Journal. 2004;52(11):476-480.

Kuzmich GA, Phillips M, Rojas L. Noise levels in the operating room. Current Opinion in Anaesthesiology. 2002;15(4):449-454.

Hawksworth C, Asbury AJ, Millar K. Music in theatre: not so harmonious: a survey of attitudes to music played in the operating theatre. Anaesthesia. 1997;52:79-83.

Sanderson PM, Tosh N, Philp S. The effects of ambient music on simulated anaesthesia monitoring. Anaesthesia. 2005;60:1073-1078.

Portaria MTE nº 3214 de 8 de junho de 1978: Normas Regulamentadoras relativas à segurança e medicina do trabalho. NR 6 - Equipamentos de proteção individual. .

Portaria MTE nº 3214 de 8 de junho de 1978: Normas Regulamentadoras relativas à segurança e medicina do trabalho. NR 9 - Programa de prevenção de riscos ambientais. .

Portaria MTE nº 3214 de 8 de junho de 1978: Normas Regulamentadoras relativas à segurança e medicina do trabalho. NR 15 - Atividades e operações insalubres. .

Portaria MTE nº 3214 de 8 de junho de 1978: Normas Regulamentadoras relativas à segurança e medicina do trabalho. NR 17 - Ergonomia. .

Níveis de ruído para conforto acústico. Dez .

Alarmes de sinalização para aparelhos de anestesia e respiradores - Parte 2: Alarme de sinalização sonora. 2001.

Fonseca NM. Conceitos fundamentais do aparelho de anestesia. Medicina Perioperatória. 2006:237-251.

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