TY - JOUR
T1 - Anaesthesia and environment
T2 - impact of a green anaesthesia on economics
AU - Kampman, Jasper M.
AU - Sperna Weiland, Nicolaas H.
N1 - Publisher Copyright: © 2023 Lippincott Williams and Wilkins. All rights reserved.
PY - 2023/4/1
Y1 - 2023/4/1
N2 - Purpose of reviewThe excessive growth of the health sector has created an industry that, while promoting health, is now itself responsible for a significant part of global environmental pollution. The health crisis caused by climate change urges us to transform healthcare into a sustainable industry. This review aims to raise awareness about this issue and to provide practical and evidence-based recommendations for anaesthesiologists.Recent findingsWe offer seven recommendations for anaesthesiologists that want to transform their own practice.1.Use total intravenous anaesthesia over inhalation-based anaesthesia.2.Use ultra-low fresh gas flow (<0.5 l min-1) during inhalation based anaesthesia and higher flows (4-6 l min-1) during total intravenous anaesthesia.3.Anaesthetic gas capturing technology may have limited environmental benefit, while it increases cost.4.In the clinical setting, epidural or intravenous analgesia during labour is preferred over nitrous oxide inhalation.5.Properly designed air treatment systems save energy and reduce cost.6.Unoccupied set-back of air treatment systems can save up to 70% of energy.7.Reusable equipment is almost always associated with a lower environmental impact and lower costs compared with single-use disposables.SummaryThis review offers evidence-based recommendations, along with their financial impact, to improve the sustainability of anaesthesiology practice in the operating room.
AB - Purpose of reviewThe excessive growth of the health sector has created an industry that, while promoting health, is now itself responsible for a significant part of global environmental pollution. The health crisis caused by climate change urges us to transform healthcare into a sustainable industry. This review aims to raise awareness about this issue and to provide practical and evidence-based recommendations for anaesthesiologists.Recent findingsWe offer seven recommendations for anaesthesiologists that want to transform their own practice.1.Use total intravenous anaesthesia over inhalation-based anaesthesia.2.Use ultra-low fresh gas flow (<0.5 l min-1) during inhalation based anaesthesia and higher flows (4-6 l min-1) during total intravenous anaesthesia.3.Anaesthetic gas capturing technology may have limited environmental benefit, while it increases cost.4.In the clinical setting, epidural or intravenous analgesia during labour is preferred over nitrous oxide inhalation.5.Properly designed air treatment systems save energy and reduce cost.6.Unoccupied set-back of air treatment systems can save up to 70% of energy.7.Reusable equipment is almost always associated with a lower environmental impact and lower costs compared with single-use disposables.SummaryThis review offers evidence-based recommendations, along with their financial impact, to improve the sustainability of anaesthesiology practice in the operating room.
KW - climate change
KW - economics
KW - environmental sustainability
KW - waste reduction
UR - http://www.scopus.com/inward/record.url?scp=85148677760&partnerID=8YFLogxK
U2 - https://doi.org/10.1097/ACO.0000000000001243
DO - https://doi.org/10.1097/ACO.0000000000001243
M3 - Review article
C2 - 36700462
SN - 0952-7907
VL - 36
SP - 188
EP - 195
JO - Current opinion in anaesthesiology
JF - Current opinion in anaesthesiology
IS - 2
ER -