Scavenging of dental anesthetic gases

Results of recent surveys suggest that there are significant health hazards involved with chronic exposure to waste anesthetic gases. While results of these surveys were significant, they did not prove a cause-effect relationship. Considerable evidence in experimental animals suggests such a relationship; it is reasonable to assume that this applies to the clinical situation. An anesthetic technique that uses a circle-system absorber with a scavenging trap and non-recirculating exhaust duct has been described. This system was combined with use of a closed-cell rubber sponge for an oropharyngeal pack that was impermeable to air or anesthetic gases. In addition, a tight-fitting nasal mask or sealed nasopharyngeal tube was used. Ventilation of room air also was improved. These changes produced a 93.3% reduction in halothane and 91.2% reduction in nitrous oxide in the dental operating room.