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- W3048378906 endingPage "692" @default.
- W3048378906 startingPage "680" @default.
- W3048378906 abstract "The detrimental health effects of climate change continue to increase. Although health systems respond to this disease burden, healthcare itself pollutes the atmosphere, land, and waterways. We surveyed the 'state of the art' environmental sustainability research in anaesthesia and critical care, addressing why it matters, what is known, and ideas for future work. Focus is placed upon the atmospheric chemistry of the anaesthetic gases, recent work clarifying their relative global warming potentials, and progress in waste anaesthetic gas treatment. Life cycle assessment (LCA; i.e. 'cradle to grave' analysis) is introduced as the definitive method used to compare and contrast ecological footprints of products, processes, and systems. The number of LCAs within medicine has gone from rare to an established body of knowledge in the past decade that can inform doctors of the relative ecological merits of different techniques. LCAs with practical outcomes are explored, such as the carbon footprint of reusable vs single-use anaesthetic devices (e.g. drug trays, laryngoscope blades, and handles), and the carbon footprint of treating an ICU patient with septic shock. Avoid, reduce, reuse, recycle, and reprocess are then explored. Moving beyond routine clinical care, the vital influences that the source of energy (renewables vs fossil fuels) and energy efficiency have in healthcare's ecological footprint are highlighted. Discussion of the integral roles of research translation, education, and advocacy in driving the perioperative and critical care environmental sustainability agenda completes this review." @default.
- W3048378906 created "2020-08-18" @default.
- W3048378906 creator A5026456834 @default.
- W3048378906 creator A5043235525 @default.
- W3048378906 creator A5063958181 @default.
- W3048378906 creator A5085492368 @default.
- W3048378906 date "2020-11-01" @default.
- W3048378906 modified "2023-10-10" @default.
- W3048378906 title "Environmental sustainability in anaesthesia and critical care" @default.
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