Evaluation of exposure risk for healthcare personnel performing the open technique HIPEC procedure using cisplatin

• Published in: Gynecologic oncology Vol. 161; no. 1; pp. 261 - 263
• Main Authors: Zhengzheng Xie, M.S., Li, Yan, Yan, Dan, Hu, Xiaoyu, Liu Liu, M.S., Lulu Sun, B.S., Tao, Xiaomei, Ping Yang, M.S., Zhang, Zhanzhi
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-04-2021
• Subjects: Cisplatin; Environmental monitoring introduction; Exposure; Intraperitoneal chemotherapy; Safety; Exposure; Safety; Intraperitoneal chemotherapy; Cisplatin; Environmental monitoring introduction
• ISSN: 0090-8258; 1095-6859
• DOI: 10.1016/j.ygyno.2021.01.016

Objective: To perform an evaluation of the risk to healthcare personnel of exposure to cisplatin during a Hyperthermic Intraperitoneal Chemotherapy (HIPEC) procedure in an operating room environment.
Methods: Breathing zone air samples were taken from the operating room (OR) before, during and after the procedure of HIPEC filter membrane adsorption and the liquid impact method was applied to collect air samples. The samples of surface wipe from the floor of the OR were taken after the procedure. Inductively coupled plasma mass spectrometry(ICP-MS) was used to detect the content of cisplatin in all the samples.
Results: Thirty-six air samples and three surface wipes were collected from three different locations of healthcare personnel breathing zones. All the breathing zone air samples were negative for cisplatin; however, cisplatin contamination was detected on three surface wipes from the floor, but in a lowconcentration(≤ 2.25 ng).
Conclusion: The results suggest that the risk of inhalation of cisplatin was extremely low for the healthcare personnel during the procedure of HIPEC, but the contamination of the OR floor should be taken into consideration.
•open technique increase the exposure of operating room personnel to chemotherapy.•risk was extremely low for the healthcare personnel during the procedure of HIPEC.•the contamination of the OR floor should be taken into consideration.•use Inductively coupled plasma mass spectrometry(ICP-MS) detect content of cisplatin.