Blogs listed by tag: helium

The importance of gas detection in the Medical and Healthcare sector

The need for gas detection in the medical and healthcare sector may be less widely understood outside of the industry, but the requirement is there, nonetheless. With patients across a number of settings receiving a variety of treatment and medical therapies that involve the usage of chemicals, the need to accurately monitor the gases utilised or emitted, within this process is very important to allow for their continued safe treatment. In order to safeguard both patients and, of course, the healthcare professionals themselves, the implementation of accurate and reliable monitoring equipment is a must.

Applications

In healthcare and hospital settings, a range of potentially hazardous gases can present themselves due to the medical equipment and apparatus utilised. Harmful chemicals are also used for disinfectant and cleansing purposes within hospital work surfaces and medical supplies. For example, potentially hazardous chemicals can be used as a preservative for tissue specimens, such as toluene, xylene or formaldehyde. Applications include:

  • Breath gas monitoring
  • Chiller rooms
  • Generators
  • Laboratories
  • Storage rooms
  • Operating theatres
  • Pre-hospital rescue
  • Positive airway pressure therapy
  • High flow nasal cannula therapy
  • Intensive care units
  • Post anaesthesia care unit

Gaz Hazards

Oxygen Enrichment in Hospital Wards

In light of the worldwide pandemic, COVID-19, the need for increased oxygen on hospital wards has been recognised by healthcare professionals due to the escalating number of ventilators in use. Oxygen sensors are vital, within ICU wards specifically, as they inform the clinician how much oxygen is being delivered to the patient during ventilation. This can prevent the risk of hypoxia, hypoxemia or oxygen toxicity. If oxygen sensors do not function as they should; they can alarm regularly, need changing and unfortunately even lead to fatalities. This increased use of ventilators also enriches the air with oxygen and can raise the combustion risk. There is a need to measure the levels of oxygen in the air using a fixed gas detection system to avoid unsafe levels in the air.

Carbon Dioxide

Carbon dioxide level monitoring is also required in healthcare environments to ensure a safe working environment for professionals, as well as to safeguard patients being treated. Carbon dioxide is used within a plethora of medical and healthcare procedures from minimally invasive surgeries, such as endoscopy, arthroscopy and laparoscopy, cryotherapy and anaesthesia. CO2 is also used in incubators and laboratories and, as it is a toxic gas, can cause asphyxiation. Heightened levels of CO2 in the air, emitted by certain machinery, can cause harm to those in the environment, as well as spread pathogens and viruses. CO2 detectors in healthcare environments can therefore improve ventilation, air flow and the wellbeing of all.

Volatile Organic Compounds (VOCs)

A range of VOCs can be found in hospital and healthcare environments and cause harm to those working and being treated within it. VOCs such as aliphatic, aromatic and halogenated hydrocarbons, aldehydes, alcohols, ketones, ethers and terpenes, to name a few, have been measured in hospital environments, originating from a number of specific areas including reception halls, patient rooms, nursing care, post-anaesthesia care units, parasitology-mycology labs and disinfection units. Although still in the research stage of their prevalence in healthcare settings, it is clear VOC ingestion has adverse effects on human health such as irritation to the eyes, nose, and throat; headaches and the loss of coordination; nausea; and damage to the liver, kidneys, or central nervous system. Some VOCs, benzene specifically, is a carcinogen. Implementing gas detection is therefore a must to safeguard everyone from harm.

Gas sensors should therefore be used within PACU, ICU, EMS, pre-hospital rescue, PAP therapy and HFNC therapy to monitor the gas levels of a range of equipment including ventilators, oxygen concentrators, oxygen generators and anaesthesia machines.

Standards and Certifications

The Care Quality Commission (CQC) is the organisation in England that regulates the quality and safety of the care delivered within all healthcare, medical, health and social care, and voluntary care settings across the country. The commission provides best practice details for the administering of oxygen to patients and the proper measurement and recording of levels, storage and training about the use of this and other medical gases.

The UK regulator for medical gases is the Medicines and Healthcare products Regulatory Agency (MHRA). They are an Executive Agency of the Department of Health and Social Care (DHSC) that ensures public and patient health and safety through the regulation of medicines, healthcare products and medical equipment in the sector. They set appropriate standards of safety, quality, performance and effectiveness, and ensure all equipment is used safely. Any company manufacturing medical gases requires a Manufacturer’s Authorisation issued by the MHRA.

In the USA The Food and Drug Association (FDA) regulates the certification process for the manufacture, sale and marketing of designated medical gases. Under Section 575 the FDA states that anyone marketing a medical gas for human or animal drug use without an approved application is breaking specified guidelines. The medical gases that require certification include oxygen, nitrogen, nitrous oxide, carbon dioxide, helium, 20 carbon monoxide, and medical air.

To find out more on the dangers in the medial and healthcare sector, visit our industry page for more information.

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Balloon gas safety: The dangers of Helium and Nitrogen 

Balloon gas is a mixture of helium and air. Balloon gas is safe when used correctly but you should never deliberately inhale the gas as it is an asphyxiant and can result in health complications. Like other asphyxiants, the helium in balloon gas occupies some of the volume normally taken by air, preventing that air being used to keep fires going or to keep bodies functioning.  

There are other asphyxiants used in industrial applications. For example, use of nitrogen has become almost indispensable in numerous industrial manufacturing and transport processes. While the uses of nitrogen are numerous, it must be handled in accordance with industrial safety regulations. Nitrogen should be treated as a potential safety hazard regardless of the scale of the industrial process in which it is being employed. Carbon dioxide is commonly used as an asphyxiant, especially in fire suppression systems and some fire extinguishers. Similarly, helium is non-flammable, non-toxic and doesn’t react with other elements in normal conditions. However, knowing how to properly handle helium is essential, as a misunderstanding could lead to errors in judgement which could result in a fatal situation as helium is used in many everyday situations. As for all gases, proper care and handling of helium containers is vital. 

What are the dangers? 

When you inhale helium knowingly or unknowingly it displaces air, which is partly oxygen. This means that as you inhale, oxygen that would normally be present in your lungs has been replaced with helium. As oxygen plays a role in many functions of your body, including thinking and moving, too much displacement poses a health risk. Typically, inhaling a small volume of helium will have a voice-altering effect, however, it may also cause a bit of dizziness and there is always the potential for other effects, including nausea, light headedness and/or a temporary loss of consciousness – all the effects of oxygen deficiency. 

  • As with most asphyxiants, nitrogen gas, like helium gas, is colourless and odourless. In the absence of nitrogen detecting devices, the risk of industrial workers being exposed to a dangerous nitrogen concentration is significantly higher. Also whilst helium often rises away from the working area due to its low density, nitrogen remains, spreading out from the leak and not dispersing quickly. Hence systems operating on nitrogen developing undetected leaks is a major safety regulatory concern. Occupational health preventive guidelines attempt to address this increased risk using additional equipment safety checks. The problem is low oxygen concentrations affecting personnel. Initially symptoms include mild shortness of breath and cough, dizziness and perhaps restlessness, followed by rapid breathing chest pain and confusion, with prolonged inhalation resulting in high blood pressure, bronchospasm and pulmonary edema. 
  • Helium can cause these exact same symptoms if it is contained in a volume and can’t escape. And in each case a complete replacement of the air with the asphyxiant gas causes rapid knockdown where a person just collapses where they stand resulting in a variety of injuries. 

Balloon Gas Safety Best Practice 

In accordance with OSHA guidelines, mandatory testing is required for confined industrial spaces with the responsibility being placed on all employers. Sampling atmospheric air within these spaces will help to determine its suitability for breathing. Tests to be carried out on the sampling air most importantly include oxygen concentrations, but also combustible gas presence and tests for toxic vapours to identify build ups of those gases. 

Regardless of the duration of stay, OSHA requires all employers to provide an attendant just outside a permit-required space whenever personnel are working within. This person is required to constantly monitor the gaseous conditions within the space and call for rescuers if the worker inside the confined space becomes unresponsive. It is vital to note that at no time should the attendant attempt to enter the hazardous space to conduct a rescue unassisted. 

In restricted areas forced draft air circulation will significantly reduce the build-up of helium, nitrogen or other asphyxiant gas and limit the chances of a fatal exposure. While this strategy can be used in areas with low nitrogen leak risks, workers are prohibited from entering pure nitrogen gas environments without using appropriate respiratory equipment. In these cases, personnel must use appropriate artificially supplied air equipment. 

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