The environmental impact of surgery: A systematic review

Nachhaltigkeit in der chirurgischen Niederlassung – ein narratives Review

“…Im Vergleich von Einweg- und Mehrwegprodukten liegen bisher noch nicht viele Ergebnisse sog. „life cycle analyses“ (systematische Analysen der Energiebilanz von Produkten ausgehend von den Rohmaterialien bis zur Entsorgung/Verwertung) vor, allerdings schneiden Mehrwegprodukte nach den bisherigen Daten insgesamt besser ab [ 31 ]. Als Argumente gegen Mehrwegartikel werden häufig finanzieller Druck und hygienerechtliche Bedenken angeführt: Niedergelassene scheuen die vermeintlich kosten-, zeit- und personalintensiven Prozesse bei Reinigung und Sterilisation von Mehrweginstrumenten.…”

“…Operationssäle haben hohe Anforderungen an Luftzirkulation und Temperaturregulierung, nutzen oft energieaufwendige Halogenlampen und haben dadurch einen 3‑ bis 6‑mal so hohen Energieverbrauch wie andere Bereiche von Gesundheitseinrichtungen [ 31 ]. In Analysen des CO 2 -Fußabdrucks der Chirurgie spielt die Energieversorgung eine herausragende Rolle – und bietet Einsparmöglichkeiten.…”

Reducing the Environmental Impact of the OR

“…The World Health Organization indicates that climate change is the single biggest public health threat of the 21st century. [5][6][7] It has resulted in a variety of health effects that are transforming the burden of disease, particularly for groups that have been historically marginalized. 5 Global warming decreases food and water supplies, increases the risk of infectious disease, and contributes to economic disruption.…”

“…[5][6][7] It has resulted in a variety of health effects that are transforming the burden of disease, particularly for groups that have been historically marginalized. 5 Global warming decreases food and water supplies, increases the risk of infectious disease, and contributes to economic disruption. 8 In fact, more than 5 million deaths annually can be attributed to nonoptimal temperatures resulting from climate change.…”

“…8,9 Air pollution, heat waves, and wildfires can exacerbate cardiovascular disease, asthma, allergies, and infectious disease transmissibility; and the continued increase in the number and severity of weather events creates a greater demand for trauma and mental health care and disrupts access to surgical care. 5 Bonnie Weinberg, MSN, RN, CNOR, clinical practice specialist, The Valley Hospital, Ridgewood, NJ, indicated that it is essential for perioperative team members to have an interest in saving the planet. "Perioperative teams need to think about the environment and what they can do in their roles to protect the future of our children," she said.…”