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Environmental Risk Factors for Cardiovascular Disease in Anesthesiologists and Surgeons in the Operating Room and Intensive Care Unit

  • Marko Djuric,
  • Irina Nenadic

摘要

Environmental risk factorsEnvironmental risk factors for cardiovascular diseaseCardiovascular diseases in anesthesiologistsAnesthesiologist and surgeons in the operating roomOperating room and intensive care unitIntensive care unit can include surgical masksSurgical mask, exposure to high levels of stressStress, exposure to anesthetic gasesAnesthetic gases and pollutantsPollutants in the air (surgical smokeSurgical smoke), ionizing and non-ionizing radiationNon-ionizing radiation, infectious agentsInfectious agents, exposure to chemicals, noiseNoise, irregular working hours leading to disrupted sleep patterns, low temperatureLow temperature in the operating roomOperating room, dehydrationDehydration and imbalance in fluid intake, reduced food intakeReduced food intake, prolonged periods of standing or sitting, and physical strain associated with performing procedures, repetitive movementsRepetitive movements and musculoskeletal strainMusculoskeletal strain, high-intensity lightingHigh intensity lighting in operating roomsOperating room etc. Under these circumstances in cardiovascular pathogeneses can be involved chronic exposure to nitrous oxideNitrous oxide, direct cell damageCell damage or indirect by formation of reactive oxygen speciesReactive oxygen species, inflammationInflammation, endothelial dysfunctionEndothelial dysfunction, inhibition of methionine synthaseMethionine synthase, disorder of homocysteineHomocysteine metabolism, apoptosisApoptosis, fibrosisFibrosis, decreased blood flow, impaired platelet functionPlatelet function and increased risk of blood clots, individual sensitivity etc. Regular evaluation of cardiovascular risks and possible avoidance, regular physical activityPhysical activity, healthy diet, stress management, and adequate rest are important strategies for mitigating these risks.