Occupational Asthma Reference

Vellore AD, Drought VJ, Sherwood-Jones D, Tunnicliffe B, Moore VC, Robertson AS, Burge PS, Occupational asthma and allergy to sevoflurane and isoflurane in anaesthetic staff, Allergy, 2006;61:1485-6,

Keywords: anaesthetic, health care, asthma, challenge, peak flow, isoflurane, sevoflurane, angiooedema, dermatitis, nurse

Known Authors

Sherwood Burge, Oasys Sherwood Burge

Vicki Drought, Oasys Vicki Drought

Vicky Moore, Oasys Vicky Moore

Alastair Robertson, Selly Oak Hospital Alastair Robertson

Arun Dev Vellore, Oasys Arun Dev Vellore

Bill Tunnicliffe, University Hospital Birmingham Bill Tunnicliffe

If you would like to become a known author and have your picture displayed along with your papers then please get in touch from the contact page. Known authors can choose to receive emails when their papers receive comments.


Isoflurane has caused contact dermatitis in an anaesthetist (1), and dermatitis is common in anaesthetic workers (2). However, there are no prior reports of occupational asthma. We report three cases with occupational asthma, work-related angioedema or dermatitis to isoflurane (1-chloro-2,2,2-
trifluoroethyl difluoromethyl ether) and sevoflurane [fluoromethyl 2,2,2-trifluoro- 1-(trifluoromethyl) ethyl ether] with positive specific bronchial provocation testing. All worked as anaesthetic assistants or nurses in the same hospital.

Full Text


Isoflurane and sevofluorane; anaesthetic gasses

Anaesthetic assistant and nurse mostly exposed in recovery areas

IgE not tested

Skin prick test to allergen extract not tested

Non specific bronchial reactivity developed post challenge in 3/3; normal before challenge 3/3

Serial peak flow records positive 1/3; equivocal 1/3; not done 1/3

Specific Bronchial Challenge: late reaction to isoflurane and sevoflurane 15 breaths 0.5% (1); late reaction isoflurane alone 18 breaths 0.5% (1); rash and nsbr decline isoflurane alone 18 breaths 0.5% (1); controls no reaction

Follow up
Better after relocation away from recovering post-op patients exhaling anaesthetic gasses. One had anaphylactic reaction during a general anaesthetic using sevoflurane

Please sign in or register to add your thoughts.

Oasys and occupational asthma smoke logo