0.52 CME

Rôle de l'anesthésie dans un environnement durable

Conférencier: Docteur Ganesh

MBBS, DA, DNB, PDCCA DESA, ANESTHÉSISTE SPÉCIALISTE ASTER HOSPITAL DUBAI

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Description

Anesthesia plays a crucial role in reducing the carbon footprint of medical procedures by reducing the length of surgery and recovery time, leading to lower energy consumption and waste generation. The implementation of sustainable practices in anesthesia can also lead to cost savings for healthcare systems, further promoting environmental sustainability. By carefully monitoring and controlling the use of anesthetic drugs, waste and pollution can be reduced, while ensuring patient safety and comfort.

Résumé

  • Anesthesia's global impact is substantial, with millions of surgeries annually relying on inhalational agents like nitrous oxide. These agents, while essential for general anesthesia, contribute significantly to greenhouse gas emissions and, in some cases, ozone depletion, necessitating a shift towards more sustainable practices.
  • The history of anesthesia, starting with ether in the 19th century, highlights the long-standing use of inhalational agents. However, the leakage of these gases poses occupational hazards to healthcare personnel in operating rooms and intensive care units, further emphasizing the need for mitigation strategies.
  • Global warming is accelerating, evidenced by a rising Earth temperature since the Industrial Revolution. This increase, projected to continue, has direct and indirect effects on human health, including increased morbidity, mortality, disease transmission, and habitat loss.
  • Carbon footprint analysis is crucial for understanding the environmental impact of healthcare, encompassing the entire lifecycle of anesthetic agents from production to disposal. Studies show that desflurane has a significantly higher greenhouse gas emission than sevoflurane and isoflurane. Intravenous agents, like propofol, exhibit the lowest emissions.
  • The healthcare sector, often overlooked, contributes a substantial percentage of national carbon footprints. The choice of anesthetic agents significantly impacts greenhouse gas emissions, with desflurane having a notably higher impact than other agents and nitrous oxide.
  • Global warming potential (GWP) measures a gas's ability to absorb infrared light and trap heat in the atmosphere, using carbon dioxide as a reference point. Gases with absorption spectra in atmospheric "windows" induce more heat trapping. Desflurane exhibits a high GWP value compared to other anesthetic agents.

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