At the laboratory after exposure to toxic cabin air:

Additional info for medical staff here (free download).

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Body fluid tests that should be done straight after, or within 48 hours of exposure to toxic aircraft air. At least get the blood drawn and save some samples of blood and urine and store them in the deep-freeze compartment of your fridge. We suggest you take 2 samples of blood and 3 samples of urine.  Please see further down advise on details!

BIOMONITORING after exposure on board aircraft, following smell and/ or visible fume events.

Blood:

  • 2-Butanon/MEK
  • Isopropanol
  • n-Heptane
  • Isohexane/2-Methylpentane
  • n-Hexane
  • n-Octane
  • n-Decane
  • 2-Heptanone
  • Toluole
  • Acetone
  • Acetylcholinesterase
  • Pesticides (d-phenotrin, permethrin and metabolites)

Urine:

  • 2,5-Hexandion (metabolite of n-hexan)
  • o-Kresol (Metabolite of Toluol)
  • Acetone
  • Trikresylphosphat, Triphenylphosphat, Tributylphosphat

 

Additional tests:

Hair:

  • Tricresyl-Phosphate and metabolites (TCP)    order here  read info here

Blood:
Determination of Organophosphate exposure and injury to the nervous system by Professor M. Abou-Donia:

  • Auto Antibodies  >>>> available upon request, please contact here 
  • DNA Test – can help determine if you are a poor detoxifier, most laboratories offer this test.

 

Advice how to take and store blood/urine samples:

The ‘Fume Events Clinic’ of the University Göttingen recommends to:

1) Take samples for human biomonitoring in the urine:

  • Collect 2-3 urine samples immediately after the fume event or after landing, refrigerate and freeze as soon as possible
  • Note the time and date of each collection vessel
  • Use proper urine cups which can be optained from the pharmacy, alternatively use clean, lockable containers (eg bottles).

2) Take samples for human biomonitoring in the blood –

  • if possible, EDTA blood should be taken, let it be allowed to cool and freeze it as soon as possible.
  • The disinfection of the skin area must NOT be carried out with a solvent-containing disinfecting agent before the blood is taken. Use a three percent aqueous hydrogen peroxide solution (AMR 6.2); If not available pleasetake note of the name of the disinfectant that has been used.

 Documentation of details:
> Time (if necessary with time zone)

> Type of aircraft / tail number if possible
> Type and extent of the fume event (smell? smoke?)
> Complaints/ symptoms
>  Record the time of sampling of urine, blood, etc.

Send samples in frozen condition (eg on an ice pack in a styrofoam box) to …..

Samples for the Auto Antibodies Test must be taken and stored in a specific way. Information via email .