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This guideline summarizes pertinent information about halothane for workers and employers as well as for physicians, industrial hygienists, and other occupational safety and health professionals who may need such information to conduct effective occupational safety and health programs. Recommendations may be superseded by new developments in these fields; readers are therefore advised to regard these recommendations as general guidelines and to determine whether new information is available.
SUBSTANCE IDENTIFICATION * Formula CF(3)CHBrCl * Structure (For Structure, see paper copy) * Synonyms 2-Bromo-2-chloro-1,1,1,-trifluoroethane; Bromochlorotrifluoroethane; 1,1,1-Trifluoro-2,2-chlorobromoethane; Fluothane * Identifiers
Halothane is a highly volatile, clear, nonflammable, colorless liquid with a pleasant odor. An odor threshold of 33 parts per million (ppm) parts of air has been reported. CHEMICAL AND PHYSICAL PROPERTIES * Physical data
The National Fire Protection Association has not assigned a flammability rating to halothane.
EXPOSURE LIMITS * OSHA PEL The Occupational Safety and Health Administration (OSHA) does not currently regulate halothane. * NIOSH REL The National Institute for Occupational Safety and Health (NIOSH) has established a recommended exposure limit (REL) of 2 parts per million (ppm) parts of air (16.2 milligrams per cubic meter (mg/m(3))) for halothane (as a waste anesthetic gas) as a 60-minute ceiling limit that should not be exceeded during any part of the workday [NIOSH 1992]. * ACGIH TLV The American Conference of Governmental Industrial Hygienists (ACGIH) has assigned halothane a threshold limit value (TLV) of 50 ppm (404 mg/m(3)) as a TWA for a normal 8-hour workday and a 40-hour workweek [ACGIH 1994, p. 22]. * Rationale for Limits The NIOSH limit is based on the risk of reproductive effects and decreased audiovisual performance associated with exposure to halothane [NIOSH 1992]. The ACGIH limit was established by analogy with the health effects posed by previously used anesthetic agents (chloroform and trichloroethylene) [ACGIH 1991, p. 723].
HEALTH HAZARD INFORMATION * Routes of Exposure Exposure to halothane can occur through inhalation, ingestion, and eye or skin contact. * Summary of Toxicology
* Emergency procedures: [NIOSH to supply] Rescue: Remove an incapacitated worker from further exposure and implement appropriate emergency procedures (e.g., those listed on the Material Safety Data Sheet required by OSHA's Hazard Communication Standard [29 CFR 1910.1200]). All workers should be familiar with emergency procedures, the location and proper use of emergency equipment, and methods of protecting themselves during rescue operations. EXPOSURE SOURCES AND CONTROL METHODS The following operations may involve halothane and lead to worker exposures to this substance:
Methods that are effective in controlling worker exposures to halothane, depending on the feasibility of implementation, are as follows:
OSHA is currently developing requirements for medical surveillance. When these requirements are promulgated, readers should refer to them for additional information and to determine which substances require employers to implement medical surveillance procedures. * Medical Screening Workers who may be exposed to chemical hazards should be monitored in a systematic program of medical surveillance that is intended to prevent occupational injury and disease. The program should include education of employers and workers about work-related hazards, early detection of adverse health effects, and referral of workers for diagnosis and treatment. The occurrence of disease or other work-related adverse health effects should prompt immediate evaluation of primary preventive measures (e.g., industrial hygiene monitoring, engineering controls, and personal protective equipment). A medical surveillance program is intended to supplement, not replace, such measures. To detect and control work-related health effects, medical evaluations should be performed (1) before job placement, (2) periodically during the term of employment, and (3) at the time of job transfer or termination. * Pre-placement medical evaluation Before a worker is placed in a job with a potential for exposure to halothane, a licensed health care professional should evaluate and document the worker's baseline health status with thorough medical, environmental, and occupational histories, a physical examination, and physiologic and laboratory tests appropriate for the anticipated occupational risks. These should concentrate on the function and integrity of the central nervous system, cardiovascular system, liver, and reproductive system. A pre-placement medical evaluation is recommended to assess medical conditions that may be aggravated or may result in increased risk when a worker is exposed to halothane at or below the prescribed exposure limit. The health care professional should consider the probable frequency, intensity, and duration of exposure as well as the nature and degree of any applicable medical condition. Such conditions (which should not be regarded as absolute contraindications to job placement) include a history and other findings consistent with diseases of the central nervous system, caradiovascular system, liver, or reproductive system. * Periodic medical evaluations Occupational health interviews and physical examinations should be performed at regular intervals during the employment period, as mandated by any applicable Federal, State, or local standard. Where no standard exists and the hazard is minimal, evaluations should be conducted every 3 to 5 years or as frequently as recommended by an experienced occupational health physician. Additional examinations may be necessary if a worker develops symptoms attributable to halothane exposure. The interviews, examinations, and medical screening tests should focus on identifying the adverse effects of halothane on the central nervous system, caradiovascular system, liver, or reproductive system. Current health status should be compared with the baseline health status of the individual worker or with expected values for a suitable reference population. * Termination medical evaluations The medical, environmental, and occupational history interviews, the physical examination, and selected physiologic or laboratory tests that were conducted at the time of placement should be repeated at the time of job transfer or termination to determine the worker's medical status at the end of his or her employment. Any changes in the worker's health status should be compared with those expected for a suitable reference population. * Biological Monitoring Biological monitoring involves sampling and analyzing body tissues or fluids to provide an index of exposure to a toxic substance or metabolite. No biological monitoring test acceptable for routine use has yet been developed for halothane. WORKPLACE MONITORING AND MEASUREMENT Determination of a worker's exposure to airborne halothane is made using an Anasorb 747 tube (140/70 mg sections). Samples are collected at a maximum flow rate of 0.5 liter/minute until a maximum collection volume of 12 liters is reached. The sample is then treated with carbon disulfide. Analysis is conducted by gas chromatography with a flame ionization detector. This method is described in the OSHA Computerized Information System (OSHA Method #103), [OSHA 1992].
PERSONAL HYGIENE PROCEDURES If halothane contacts the skin, workers should flush the affected areas immediately with plenty of water, followed by washing with soap and water. Clothing contaminated with halothane should be removed immediately, and provisions should be made for the safe removal of the chemical from the clothing. A worker who handles halothane should thoroughly wash hands, forearms, and face with soap and water before eating, using tobacco products, using toilet facilities, applying cosmetics, or taking medications. Workers should not eat, drink, use tobacco products, apply cosmetics, or take medications in areas where halothane or a solution containing halothane is handled, processed, or stored. STORAGE Halothane should be stored in a cool, dry, well-ventilated area in tightly sealed containers that are labeled in accordance with OSHA's Hazard Communication Standard [29 CFR 1910.1200]. Opaque, chemically resistant containers should be used for storage. Containers of halothane should be protected from physical damage and should be stored separately from acids, direct sunlight, heat, sparks, and open flame. Because containers that formerly contained halothane may still hold product residues, they should be handled appropriately. SPILLS AND LEAKS In the event of a spill or leak involving halothane, persons not wearing protective equipment and clothing should be restricted from contaminated areas until cleanup has been completed. The following steps should be undertaken following a spill or leak:
U.S. Environmental Protection Agency (EPA) requirements for emergency planning, reportable quantities of hazardous releases, community right-to- know, and hazardous waste management may change over time. Users are therefore advised to determine periodically whether new information is available. * Emergency planning requirements Halothane is not subject to EPA emergency planning requirements under the Superfund Amendments and Reauthorization Act (SARA) (Title III) [42 USC 11022]. * Reportable quantity requirements for hazardous releases Although halothane is not specifically listed as a hazardous waste under the Resource Conservation and Recovery (RCRA) [40 USC 6901 et seq.], EPA requires employers to treat waste as hazardous if it exhibits any of the following characteristics: ignitability, corrosivity, reactivity, or toxicity as defined in 40 CFR 261.21- 261.24. Providing detailed information about the removal and disposal of specific chemicals is beyond the scope of this guideline. The U.S. Department of Transportation, EPA, and State and local regulations should be followed to ensure that removal, transport, and disposal of this substance are conducted in accordance with existing regulations. To be certain that chemical waste disposal meets EPA regulatory requirements, employers should address any questions to the RCRA hotline at (202) 382-3000 (in Washington, D.C.) or toll-free at (800) 424-9346 (outside Washington, D.C.). In addition, relevant State and local authorities should be contacted for information on any requirements they may have for the waste removal and disposal of this substance. RESPIRATORY PROTECTION * Conditions for respirator use Good industrial hygiene practice requires that engineering controls be used where feasible to reduce workplace concentrations of hazardous materials to the prescribed exposure limit. However, some situations may require the use of respirators to control exposure. Respirators must be worn if the ambient concentration of halothane exceeds prescribed exposure limits. Respirators may be used (1) before engineering controls have been installed, (2) during work operations such as maintenance or repair activities that involve unknown exposures, (3) during operations that require entry into tanks or closed vessels, and (4) during emergencies. Workers should only use respirators that have been approved by NIOSH and the Mine Safety and Health Administration (MSHA). * Respiratory protection program Employers should institute a complete respiratory protection program that, at a minimum, complies with the requirements of OSHA's Respiratory Protection Standard [29 CFR 1910.134]. Such a program must include respirator selection, an evaluation of the worker's ability to perform the work while wearing a respirator, the regular training of personnel, respirator fit testing, periodic workplace monitoring, and regular respirator maintenance, inspection, and cleaning. The implementation of an adequate respiratory protection program (including selection of the correct respirator) requires that a knowledgeable person be in charge of the program and that the program be evaluated regularly. For additional information on the selection and use of respirators and on the medical screening of respirator users, consult the latest edition of the NIOSH Respirator Decision Logic [NIOSH 1987b] and the NIOSH Guide to Industrial Respiratory Protection [NIOSH 1987a]. PERSONAL PROTECTIVE EQUIPMENT Workers should use appropriate personal protective clothing and equipment that must be carefully selected, used, and maintained to be effective in preventing skin contact with halothane. The selection of the appropriate personal protective equipment (PPE) (e.g., gloves, sleeves, encapsulating suits) should be based on the extent of the worker's potential exposure to halothane. The resistance of a protective material to permeation by halothane is shown below:
(*) Materials with breakthrough times of <1 hr are not recommended for use against halothane. To evaluate the use of this material with halothane, users should consult the best available performance data and manufacturers' recommendations. Significant differences have been demonstrated in the chemical resistance of generically similar PPE materials (e.g., butyl) produced by different manufacturers. In addition, the chemical resistance of a mixture may be significantly different from that of any of its neat components. Any chemical-resistant clothing that is used should be periodically evaluated to determine its effectiveness in preventing dermal contact. Safety showers and eye wash stations should be located close to operations that involve halothane. Splash-proof chemical safety goggles or face shields (20 to 30 cm long, minimum) should be worn during any operation in which a solvent, caustic, or other toxic substance may be splashed into the eyes. In addition to the possible need for wearing protective outer apparel (e.g., aprons, encapsulating suits), workers should wear work uniforms, coveralls, or similar full-body coverings that are laundered each day. Employers should provide lockers or other closed areas to store work and street clothing separately. Employers should collect work clothing at the end of each work shift and provide for its laundering. Laundry personnel should be informed about the potential hazards of handling contaminated clothing and be instructed about measures to minimize their health risk. Protective clothing should be kept free of oil and grease and should be inspected and maintained regularly to preserve its effectiveness. Protective clothing may interfere with the body's heat dissipation, especially during hot weather or during work in hot or poorly ventilated work environments.
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