Jocelyn Compton1, Jayson Clinger2, Ericka Lawler1, Jesse Otero1, Patrick O'Shaughnessy2. 1. University of Iowa Hospitals and Clinics, Department of Orthopedics and Rehabilitation, Iowa City, IA. 2. University of Iowa College of Public Health, Department of Occupational and Environmental Health, Iowa City, IA.
Abstract
Background: Exposure to methyl methacrylate vapor (MMA) presents an occupational risk to orthopedic surgeons and ancillary personnel in the operating room. The purpose of this study was to identify a disposable face mask to reduce MMA organic vapor inhalation in the operative suite. Methods: First, the effectiveness of MMA vapor filtration was determined in the laboratory. A section of activated carbon impregnated filter face mask (Model 8514, 3M Inc.) was exposed to 150 ppm MMA vapor and MMA ppm of filtered air was monitored until MMA vapor was detectable. The face mask was then worn as directed in the operating room during routine cement mixing during total knee arthroplasty to determine the exposure to MMA vapors during the procedure both with and without the activated carbon impregnated filter face mask. Results: The activated carbon impregnated face mask was effective in reducing MMA vapor inhalation to non-detectable levels for up to 40 minutes in the laboratory at steady-state exposure of 150 ppm MMA vapor as well as throughout cement mixing and curing in the operative suite during routine total knee arthroplasty. Conclusions: An activated carbon impregnated face mask offers a solution for the orthopedic surgeon and supporting personnel who wish to limit their exposure to MMA vapors due to health concerns.Level of Evidence: III.
Background: Exposure to methyl methacrylate vapor (MMA) presents an occupational risk to orthopedic surgeons and ancillary personnel in the operating room. The purpose of this study was to identify a disposable face mask to reduce MMA organic vapor inhalation in the operative suite. Methods: First, the effectiveness of MMA vapor filtration was determined in the laboratory. A section of activated carbon impregnated filter face mask (Model 8514, 3M Inc.) was exposed to 150 ppm MMA vapor and MMA ppm of filtered air was monitored until MMA vapor was detectable. The face mask was then worn as directed in the operating room during routine cement mixing during total knee arthroplasty to determine the exposure to MMA vapors during the procedure both with and without the activated carbon impregnated filter face mask. Results: The activated carbon impregnated face mask was effective in reducing MMA vapor inhalation to non-detectable levels for up to 40 minutes in the laboratory at steady-state exposure of 150 ppm MMA vapor as well as throughout cement mixing and curing in the operative suite during routine total knee arthroplasty. Conclusions: An activated carbon impregnated face mask offers a solution for the orthopedic surgeon and supporting personnel who wish to limit their exposure to MMA vapors due to health concerns.Level of Evidence: III.
Authors: Roxanne R Keene; Diane C Hillard-Sembell; Brooke S Robinson; Wendy M Novicoff; Khaled J Saleh Journal: J Bone Joint Surg Am Date: 2011-12-07 Impact factor: 5.284