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Trichloroethylene

C2HCl3, widely used industrial solvent

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Through International Union of Pure and Applied Chemistry and Nepal

Trichloroethylene is heavier than water and insoluble in water, therefore it sinks under water when spilt which causes it to migrate downward through soil and aquifers. It settles at the bottom of aquifers and forms persistent subsurface contamination that is difficult to detect and remediate.

History

The earliest trichloroethylene synthesis was reported by Auguste Laurent in 1836. Laurent obtained it from the action of potassium hydroxide on a mixture of 1,1,2,2-tetrachloroethane and 1,1,1,2-tetrachloroethane made from the chlorination of ethylene dichloride and notated it as C4HCl3 (at the time, the atomic weight of carbon was thought to be half of what it really is). He named trichloroethylene chlorétherise but did not investigate the compound further as his sample seemed unstable.

E. Fischer obtained trichloroethylene in 1864 via the reduction of hexachloroethane with hydrogen. Fischer investigated the compound and noted its boiling point as between 87 and 90 degrees Celsius.

First industrial plant for producing trichloroethylene was opened in Jajce, Austria-Hungary (modern-day Bosnia) in 1908. Commercial production of trichloroethylene began in Germany, in 1920 and in the United States in 1925.

As early as 1920, trichloroethylene was reported to cause sickness and severe narcotic effects including sleepiness and fainting in exposed workers.

The use of trichloroethylene in the food and pharmaceutical industries has been banned in some parts of the world since the 1970s due to concerns about its toxicity.

Anaesthesia

Trichloroethylene is a good analgesic at 0.35 to 0.5% concentrations. Trichloroethylene has a blood/gas coefficient of 9, oil/gas coefficient of 714, and a minimum alveolar concentration of 0.23% in humans. It was mainly used as a general anaesthetic for small procedures and inhaled obsterical analgesic on millions of patients.

Trichloroethylene was first used in the treatment of trigeminal neuralgia beginning in 1916 after the recommendation by the German neurologist Hermann Oppenheim in 1915. Trichloroethylene for use as an analgesic for neuralgia were sold under the trade names "Gemalgene", "Trethylene" and "Chlorylen" in the 1920s.

American pharmacologist Dennis Emerson Jackson used trichloroethylene on patients given by the inhaler he developed in 1933 and published the report in 1934. Jackson later published a larger report on applying trichloroethylene on 300 patients along with the researchers Cecil Striker, Samuel Goldblatt, Irwin S. Warm in 1935. English anaesthetist Christopher Langton Hewer introduced trichloroethylene for anaesthetic use in Britain, in 1941. Hewer found that Imperial Chemical Industries (ICI) was already producing purified medical-grade trichloroethylene in Britain under the trade name Trilene (from trichloroethylene). Trilene was the purest TCE in the market at the time and other TCE formulations had impurities that could be unsafe for inhalation. Hewer noted that ICI sold Trilene for external wound cleaning. Hewer claimed that TCE would not pose cardiac danger based on a small group of patients, and mentions a death occurring during a TCE-nitrous oxide anaesthesia.

Pioneered by ICI in Britain, its development was hailed as an anesthetic revolution. It was also sold as "Trimar" in the United States. The –mar suffix indicated study and development at the University of Maryland, e.g., "Fluoromar" for fluroxene and "Vinamar" for ethyl vinyl ether". From the 1940s through the 1980s, both in Europe and North America, trichloroethylene was used as a volatile anesthetic almost invariably administered with nitrous oxide. Marketed in the UK by Imperial Chemical Industries under the trade name Trilene it was coloured blue with a dye called waxoline blue in 1:200,000 concentration to avoid confusion with the similar-smelling chloroform. Trilene was stabilised with 0.01% thymol. "Anamenth" was an early German anaesthetic trichloroethylene formulation which contained menthol as the stabiliser.

Trichloroethylene was also used as an inhaled analgesic, mainly during childbirth, often self-applied by the patient. It was introduced for obstetrical anaesthesia in 1943, and used until the 1980s. Self-administration of trichloroethylene by the patient was common for obstetrical use with specialised devices that required little supervision by the medical staff. When used in analgesic doses, it did not affect the uterine muscles during labour. Other analgesic uses included dental operations, superficial plastic and orthopedic surgeries and other small procedures that did not require muscle relaxation.

Triservice Anaesthetic Apparatus (TSAA) is a portable draw-over vapouriser originally designed for trichloroethylene and halothane using ambient air as the carrier gas for the anaesthetic vapour. It was designed by Ivan Houghton for military/field use in 1981. It used trichloroethylene for its analgesic properties and halothane for main general anaesthesia.

Originally thought to possess less hepatotoxicity than chloroform, and without the unpleasant pungency and flammability of ether, TCE replaced earlier anesthetics chloroform and ether in the 1940s. TCE use was nonetheless soon found to have several pitfalls. These included promotion of cardiac arrhythmias, sensitivity to catecholamines in the heart, low volatility and high solubility preventing quick anesthetic induction, prolonged neurologic dysfunction from the reaction with soda lime used in carbon dioxide absorbing systems, and evidence of hepatotoxicity as had been found with chloroform, although the hepatotoxic effects (such as central necrosis and acute yellow atrophy) were reported to be temporary. Alkali components of carbon dioxide absorbers reacted with trichloroethylene and released dichloroacetylene, a neurotoxin and a nephrotoxin. Most of the trichloroethylene toxicity cases were due to its breakdown into dichloroacetylene from the reaction with the soda lime, rather than trichloroethylene itself. Dichloroacetylene poisoning was common and often fatal during trichloroethylene anaesthesia if soda lime was used. Patients exposed to dichloroacetylene showed symptoms such as nausea, vomiting, loss of apetite, headache, facial nervous and muscular issues, and formation of herpes-like lesions on the face. Formation of dichloroacetylene lead to fatal encephalopathies and cranial nerve palsies. The muscle relaxant effect of trichloroethylene was inefficient for surgery.

The introduction of halothane in 1956 greatly diminished the use of TCE as a general anesthetic in the 1960s, as halothane allowed much faster induction and recovery times and was considerably easier to administer. Trichloroethylene has also been used in the production of halothane.

Anaesthetic use of trichloroethylene was banned in the United States in 1977 but the use in the United Kingdom remained until the late 1980s (especially for childbirth). Concerns about the carcinogenic potential of TCE led to its abandonment in developed countries by the 1980s and ICI had ceased medical grade TCE production by 1984. TCE was still in use as an anesthetic in some African countries as of 2000, and in Malawi and Nepal as of 2005.

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