Environmental sustainability in neurointerventional procedures: a waste audit

Shum, Pey Ling; Kok, Hong Kuan; Maingard, Julian; Schembri, Mark A.; Bañez, Ramon Martin Francisco; Damme, Vivienne Van; Barras, Christen; Slater, Lee-Anne; Chong, Winston; Chandra, Ronil V.; Jhamb, Ashu; Brooks, Mark; Asadi, Hamed

doi:10.1136/neurintsurg-2020-016380

Cited by 29 publications

(20 citation statements)

References 14 publications

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“…Neurointerventional procedures produced an average of 8 kg of waste per case (Shum et al, 2020). Hence, it is important for IR practitioners to re ect on their practice, change and re ne practice and engage in green policy to combat the issue of waste and prioritise environmental sustainability.…”

Section: Discussionmentioning

confidence: 99%

“…Chawla et al suggested the use of default double-sided printing for all printers, the use of recycled papers and envelopes, reduced printing of request forms, provision of scrap paper for internal notes and use of digital notepads (Chawla et al, 2017). An audit of waste generated during neurointerventional procedures found that a signi cant amount of paper, cardboard packaging and user manuals were produced (Shum et al, 2020). These were never read and go straight into the general or recyclable bin (Shum et al, 2020).…”

Section: Costmentioning

confidence: 99%

“…However, as the volume and complexity of IR procedures increase, the waste burden that is generated also increases exponentially. An audit of greenhouse gas generated by a hospital-based IR department in New York found that ~ 23,500 kg CO 2 e (equivalent to burning 9,900 L of gasoline) was emitted over ve consecutive weekdays, with an average of 243 kg CO 2 e generated per IR procedure (Chua et al, 2021).Neurointerventional procedures produced an average of 8 kg of waste per case (Shum et al, 2020). Hence, it is important for IR practitioners to re ect on their practice, change and re ne practice and engage in green policy to combat the issue of waste and prioritise environmental sustainability.…”

mentioning

confidence: 99%

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Sustainability in Interventional Radiology: Are we doing enough to save the environment?

Shum

Kok

Maingard

et al. 2022

Preprint

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Background Healthcare waste contributes substantially to the world’s carbon footprint. Our aims are to review the current knowledge of Interventional Radiology (IR) waste generation and ways of reducing waste in practice, to quantify the environmental and financial impact of waste generated and address green initiatives to improve IR waste management. Methods A systematic literature search was conducted in July 2022 using the Medline and Embase literature databases. The scope of the search included the field of IR as well as operating theatre literature, where relevant to IR practice. Results One-hundred articles were reviewed and 68 studies met the inclusion criteria. Greening initiatives include reducing, reusing and recycling waste, as well as strict waste segregation. Interventional radiologists can engage with suppliers to reformulate procedure packs to minimize unnecessary items and packaging. Opened but unused equipment can be prevented if there is better communication within the team and increased staff awareness of wasted equipment cost. Incentives to use soon-to-expire equipment can be offered. Power consumption can be reduced by powering down operating room lights and workstations when not in use, changing to Light Emitting Diode (LED) and motion sensor lightings. Surgical hand wash can be replaced with alcohol-based hand rubs to reduce water usage. Common barriers to improving waste management include the lack of leadership, misconceptions regarding infectious risk, lack of data, concerns about increased workload, negative staff attitudes and resistance to change. Education remains a top priority to engage all staff in sustainable healthcare practices. Conclusion Interventional radiologists have a crucial role to play in improving healthcare sustainability. By implementing small, iterative changes to our practice, financial savings, greater efficiency and improved environmental sustainability can be achieved.

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Section: Discussionmentioning

confidence: 99%

Section: Costmentioning

confidence: 99%

mentioning

confidence: 99%

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Sustainability in Interventional Radiology: Are we doing enough to save the environment?

Shum

Kok

Maingard

et al. 2022

Preprint

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“…За кількістю відходів перше місце посідає ендоваскулярна оклюзія аневризми (13,1 кг), друге -ендоваскулярна емболізація мальформацій (10,3 кг), третє -механічна тромбектомія (8,8 кг), четверте -церебральна ангіографія (5,1 кг). Утилізація цих відходів є тягарем для лікарні, адже її вартість у 10-20 разів перевищує утилізацію простого сміття [6,7].…”

Section: дискусії та обговоренняunclassified

Supporting sustainable development goals and the challenge of reusing of the single use instruments in interventional radiology

Vyval¹,

Shchehlov²,

Chebanyuk³

2022

Ukr. ìnterv. nejroradìol. hìr.

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Interventional radiology has traditionally been at the forefront of the modern medicine, offering minimally invasive alternatives to surgical treatment with reducing of the length of hospital stay. The problem of medical waste and the recycling of medical supplies to support sustainable development goals in the health sector has entred a “green revolution” that aims to overcome global warming and fight with environmental pollution. Operating waste accounts for 20 to 70 % of all hospital waste, and many of them require special disposal. On the other hand, revenues for health care companies continue to rise, as do patient care costs, which are a huge burden for families and health systems, especially in low-income countries during COVID-19 pandemic. The issue of disposal and reuse of unique, expensive disposable radiological profile instruments is not widely reported in the scientific literature, but surveys among interventionists indicate that reuse exists even in countries where it is officially prohibited. Despite the emergence of regulations on the reuse of disposable instruments, it is largely carried out outside the quality standards. Also, manufacturers are not interested in reusing disposable instruments and often refuse to provide information on how they can be properly recycled and sterilized. Although well-remanufactured tools have significant promise, both for reducing healthcare costs and environmental pollution, and for spreading modern interventional technologies to the critical places where resources are limited and they can save lives.

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“…Man darf also durchaus von einem "Mülltsunami" durch die Medizin sprechen. Dabei ist insbesondere die Entsorgung von kontaminiertem Biomüll energieaufwendig (mit hoher CO 2 -Produktion), teuer (10-25-fach im Vergleich zu normalem Hausmüll) und führt in nicht unerheblichen Ausmaß zu toxischen Abgasen (wie Dioxin) [8].…”

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Klimawandel: Was hat die Medizin damit zu tun?

Wirtz¹,

Stöckle²

2021

Z Orthop Unfall

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Environmental sustainability in neurointerventional procedures: a waste audit

Cited by 29 publications

References 14 publications

Sustainability in Interventional Radiology: Are we doing enough to save the environment?

Sustainability in Interventional Radiology: Are we doing enough to save the environment?

Supporting sustainable development goals and the challenge of reusing of the single use instruments in interventional radiology

Klimawandel: Was hat die Medizin damit zu tun?

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