Evidence map›Paper›PMID 41733577›Full record

SynthesisLa Medicina del lavoro2026

Occupational Exposure to Inhalation Anesthetics in Operating Room and Adverse Health Outcomes: A Systematic Review.

Andrea Caronna, Katia Vitale, Laura Ciccariello, Andrea De Giorgi, Sergio Gazzanelli, Lidia Ricci, Matteo Vitali, Carmela Protano

Abstract readSystematic Review
In one paragraph

Synthesis in La Medicina del lavoro, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andrea CaronnaDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Katia VitaleDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Laura CiccarielloDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Andrea De GiorgiDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Sergio GazzanelliDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Lidia RicciDepartment of Anatomical, Histological, Medico-Legal and Locomotor Sciences, Sapienza University of Rome, Rome, Italy.
Matteo VitaliDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Carmela ProtanoDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Volatile anesthetics (VA) are essential agents for inducing and maintaining unconsciousness during specific surgical procedures, but they pose several health risks for exposed workers. The aim of the systematic review was to assess the effects of long-term VA occupational exposure in operating rooms. The review was conducted in accordance with the PRISMA Statement, and the search was conducted in PubMed, Scopus, and Web of Science to identify articles published between January 1, 1994, and December 31, 2024, that reported data from observational, quasi-experimental, and experimental studies. The protocol was registered in PROSPERO (ID: CRD42024500838). The quality of the studies was assessed using the standard Newcastle-Ottawa Scale versions for cohort and case-control studies, and an adapted version for cross-sectional studies. A total of 65 studies were included. Adverse effects were categorized into four groups: reproductive and Adverse pregnancy or offspring outcomes, neurotoxic alterations, laboratory parameter changes, and cyto- and genotoxicity. Overall, no significant associations were found between VA exposure and reproductive or pregnancy outcomes. One study reported neurological alterations (prolonged reaction times). Additionally, some studies have documented impairments in immune function and minor alterations in renal and hepatic function parameters. Finally, several studies indicated an increased risk of genotoxicity and oxidative stress. Given this evidence, protective measures and health surveillance for exposed workers remain crucial preventive measures.

Indexed as

Anesthetics, InhalationOccupational ExposureOperating RoomsFemaleHumansPregnancyAnesthetics, Inhalation

Identifiers

PMID41733577
PMCPMC12983179

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.