The anesthesiologist and global climate change

Salgueirinho, Carolina; Pereira, Hélder

doi:10.1097/eja.0000000000001734

Cited by 2 publications

(4 citation statements)

References 6 publications

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“…This scale assigns each medication a value of 0 (no impact) to 3 (severe impact) for each category (persistence, bioaccumulation, toxicity) and adds the values to determine the overall PBT score. Propofol has a value of 6 [32,39,40] due to its score of 3/3 for Persistence and 3/3 for Toxicity. The PBT scores for several medications used in anesthesia are available (fentanyl ¼ 4, remifentanil ¼ 4, ropivacaine ¼ 4, bupivacaine ¼ 5, midazolam ¼ 5), but data for many anesthesia agents are not available [39].…”

Section: Intravenous Agentsmentioning

confidence: 99%

Environmental impact of anesthetic drugs

Gordon

2024

Current Opinion in Anaesthesiology

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Purpose of review The environmental impact of anesthesia far exceeds that of other medical specialties due to our use of inhaled anesthetic agents (which are potent greenhouse gases) and many intravenous medications. Recent findings Calls for reducing the carbon footprint of anesthesia are ubiquitous in the anesthesia societies of developed nations and are appearing in proposed changes for hospital accreditation and funding in the United States. The body of research on atmospheric, land and water impacts of anesthetic pharmaceuticals is growing and generally reinforces existing recommendations to reduce the greenhouse gas emissions of anesthesia care. Summary The environmental impact of anesthesia care should factor into our clinical decisions. The onus is on clinicians to safely care for our patients in ways that contribute the least harm to the environment. Intravenous anesthesia and regional techniques have less environmental impact than the use of inhaled agents; efforts to reduce and properly dispose of pharmaceutical waste are central to reducing environmental burden; desflurane should not be used; nitrous oxide should be avoided except where clinically necessary; central nitrous pipelines should be abandoned; low fresh gas flows should be utilized whenever inhaled agents are used.

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Section: Intravenous Agentsmentioning

confidence: 99%

Environmental impact of anesthetic drugs

Gordon

2024

Current Opinion in Anaesthesiology

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“…Dünya Sağlık Örgütü çevresel açıdan sürdürülebilir bir sağlık sistemini, "çevre üzerindeki olumsuz etkileri en aza indirirken sağlığı iyileştirecek, sürdürecek veya eski hâline getirecek bir sistem" olarak tanımlamaktadır (26) ce-bioavailability-toxicity; PBT) indeksine göre belirlenmiştir. Bu indeks 0-9 arası rakamlarla belirtilir ve propofol 9 olan PBT değeri ile çevreyi kötü etkileyen iv anestezik ilaçların başında gelmektedir (Tablo II) (39). Her ne kadar yüksek PBT değerine sahip olsa da, atık sularda bulunan propofol miktarının sucul canlılara zararı gösterilememişse de, kalan artık propofollerin özel bir işlemle yakılarak yok edilmesi önerilmiştir (40).…”

Section: Sağlik Hi̇zmetleri̇ni̇n çEvreye Etki̇si̇ Ve Sürdürülebi̇li̇r...unclassified

“…Amerikan Anestezistler Derneği'nin (ASA) Etik Komitesi, Anesteziyoloji Etik Uygulama Kılavuzunda anestezistlerin etik sorumluluk alanlarını hastalara, meslektaşlarına, kendilerine, çalıştıkları sağlık tesislerine, topluma ve çevreye karşı olarak alt başlıklarda belirlemiştir (38,39,41).…”

Section: Anestezi̇ Uygulamalarinda Fark Yaratacak Basi̇t Yeşi̇l Deği̇...unclassified