Atmospheric science, anaesthesia, and the environment

Campbell, Matt; Pierce, John G.

doi:10.1093/bjaceaccp/mku033

Cited by 71 publications

(72 citation statements)

References 15 publications

(11 reference statements)

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“…It is often stated that the environmental impact of using sevoflurane is significantly higher than that of propofol . It is acknowledged that desflurane would be a poor choice for airway work and the worst of the anesthetic volatiles with a GHG emission per MAC hour 20 times that of sevoflurane.…”

Section: Anesthetists Are Becoming More Environmentally Conscious Domentioning

confidence: 99%

Volatiles or TIVA: Which is the standard of care for pediatric airway procedures? A pro‐con discussion

Lauder

Thomas

Ungern‐Sternberg

et al. 2020

Pediatric Anesthesia

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Anesthesia for pediatric airway procedures constitutes a true art form that requires training and experience. Communication between anesthetist and surgeon to establish procedure goals is essential in determining the most appropriate anesthetic management. But does the mode of anesthesia have an impact? Traditionally, inhalational anesthesia was the most common anesthesia technique used during airway surgery. Introduction of agents used for total intravenous anesthesia (TIVA) such as propofol, short‐acting opioids, midazolam, and dexmedetomidine has driven change in practice. Ongoing debates abound as to the advantages and disadvantages of volatile‐based anesthesia versus TIVA. This pro‐con discussion examines both volatiles and TIVA, from the perspective of effectiveness, safety, cost, and environmental impact, in an endeavor to justify which technique is the best specifically for pediatric airway procedures.

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Section: Anesthetists Are Becoming More Environmentally Conscious Domentioning

confidence: 99%

Volatiles or TIVA: Which is the standard of care for pediatric airway procedures? A pro‐con discussion

Lauder

Thomas

Ungern‐Sternberg

et al. 2020

Pediatric Anesthesia

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“…For example, the infection control agenda supports single‐patient use equipment, and a busy operating list may not make it easy to engage in waste segregation and streaming. Furthermore, our academic grounding in physical sciences places us in an ideal position to explain the processes that underlie climate change .…”

Section: The Effect Of Healthcare On the Environmentmentioning

confidence: 99%

A new role for anaesthetists in environmentally‐sustainable healthcare

et al. 2019

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“…Whilst the effects of anaesthetic gases on atmosphere have been comprehensively reviewed in detail (Campbell & Pierce 2015), they are summarized here to highlight the areas of concern. Solar energy is essential for life on Earth.…”

Section: Anaesthetic Agents As Greenhouse Gasesmentioning

confidence: 99%

“…The GHGs include carbon dioxide, methane, nitrous oxide, water and all of the halogenated anaesthetic agents in common use (Campbell & Pierce 2015). Since multiple GHGs exist, it is their combined effect that matters; this is evaluated using carbon dioxide equivalents (CO 2 e, kg).…”

Section: Anaesthetic Agents As Greenhouse Gasesmentioning

confidence: 99%

Environmental sustainability in veterinary anaesthesia

Jones

West²

2019

Veterinary Anaesthesia and Analgesia

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Objective Attention is drawn to the potential of global warming to influence the health and wellbeing of the human race. There is increasing public and governmental pressure on healthcare organisations to mitigate and adapt to the climate changes that are occurring. The science of anaesthetic agents such as nitrous oxide and the halogenated anaesthetic agents such as greenhouse gases and ozone-depleting agents is discussed and quantified. Additional environmental impacts of healthcare systems are explored. The role of noninhalational anaesthetic pharmaceuticals is discussed, including the environmental life-cycle analyses of their manufacture, transport, disposal and use. The significant role of anaesthetists in recycling and waste management, resource use (particularly plastics, water and energy) and engagement in sustainability are discussed. Finally, future directions for sustainability in veterinary anaesthesia are proposed.Conclusions Veterinary anaesthetists have a considerable opportunity to drive sustainability within their organisations through modification of their practice, research and education. The principles of sustainability may help veterinary anaesthetists to mitigate and adapt to our environmental crisis. Due to their particular impact as greenhouse gases, anaesthetic agents should be used conservatively with the lowest safe fresh gas flow possible. Technologies for reprocessing anaesthetic agents are described.

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Atmospheric science, anaesthesia, and the environment

Abstract: The inhalational anaesthetic agents sevoflurane isoflurane and desflurane have global warming potentials 2-3 orders of magnitude higher than CO 2 .• Nitrous oxide contributes significantly to global warming and ozone depletion.

Cited by 71 publications

References 15 publications

Volatiles or TIVA: Which is the standard of care for pediatric airway procedures? A pro‐con discussion

Volatiles or TIVA: Which is the standard of care for pediatric airway procedures? A pro‐con discussion

A new role for anaesthetists in environmentally‐sustainable healthcare

Environmental sustainability in veterinary anaesthesia

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