Environmental and Occupational Considerations

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Relevant Article Depot:

Environmental and Occupational Considerations of Anesthesia: A Narrative Review and Update

Environmental impact of commonly used anaesthetic agents: systematic literature review with narrative synthesis

Principles of environmentally-sustainable anaesthesia: a global consensus statement from the World Federation of Societies of Anaesthesiologists

OA-SPA Pediatric Anesthesia Virtual Grand Rounds: Environmental Impact of Anesthesia

#TheAnaesthesiaBlog: Anaesthesia and the environment

Simple Green Changes for Anesthesia Practices to Make a Difference

The Glasgow declaration on sustainability in Anaesthesiology and Intensive Care

Project SPRUCE: Saving Our Planet by Reducing Carbon Emissions, a Pediatric Anesthesia Sustainability Quality Improvement Initiative.

It's time for hospital workers to identify and eliminate roadblocks to reprocessing! ASA Monitor June 2023, Vol. 87, 20

https://www.cdc.gov/climateandhealth/effects/default.htm

https://amdr.org/reprocessing-by-the-numbers/

Hennein R, Goddard E, Sherman J. Stakeholder perspectives on scaling up medical device reprocessing: A qualitative study. PLos One. 2022 Dec 30;17(12). DOI: 10.1371/journal.pone.0279808. PMID: 36584081. PMCID: PMC9803114

The Other Smoking Risk

Nitrous oxide pollution in operating theatres in relation to the type of leakage and the number of efficacious air exchanges per hour

Pollution with nitrous oxide using laryngeal mask or face mask

Excessive N2O consumption due to pipeline leakages detected through integrated financial and carbon accounting

Environmental and economic impact of sustainable anaesthesia interventions: a single-centre retrospective observational study

European Society of Anaesthesiology and Intensive Care consensus document on sustainability: 4 scopes to achieve a more sustainable practice

Volatile anaesthetics and net zero: a quantitative approach for spending money effectively

Crockett CJ, Dalal PG, Tjia I, Allen M, Edelstein E, Feng X, French B, Brustowicz RM. A loud call for silence: anaesthesiologists' perceptions of noise in the operating room. Br J Anaesth. 2024 Feb;132(2):444-447. doi: 10.1016/j.bja.2023.11.035. Epub 2023 Dec 15. PMID: 38101964.

Crockett CJ, Nylander VE, Wooten EJ, Menser CC. The emergence noise reduction quality improvement initiative to enhance patient safety and quality of care. Paediatr Anaesth. 2022 Nov;32(11):1262-1269. doi: 10.1111/pan.14553. Epub 2022 Sep 15. PMID: 36065511

Human factors in anaesthetic practice part I: facts and fallacies

Human factors in anaesthetic practice. Part 2: clinical implications

Surgical smoke plume: ongoing exposure of anaesthetic and surgical staff to a preventable harm

Roy RC. Agents that came in from the cold: Enflurane, isoflurane, desflurane, and sevoflurane. Anesth Analg. 2025;140(1):205-209. doi:10.1213/ANE.0000000000007017

Sulbaek Andersen, Mads P., Ole J. Nielsen, Timothy J. Wallington, Boris Karpichev, and Stanley P. Sander. 2012. “Medical Intelligence Article: Assessing the Impact on Global Climate from General Anesthetic Gases.” Anesthesia and Analgesia 114 (5): 1081–85.

Ravishankara AR, Daniel JS, Portmann RW. Nitrous oxide (N2O): the dominant ozone-depleting substance emitted in the 21st century. Science. 2009;326(5949):123-125. doi:10.1126/science.1176985

The Environmental Impact of Inhaled Anesthetics. Accessed January 21, 2025. https://www.asahq.org/about-asa/governance-and-committees/asa-committees/environmental-sustainability/greening-the-operating-room/inhaled-anesthetics

Ozone Hole Continues Healing in 2024 (NASA) https://earthobservatory.nasa.gov/images/153523/ozone-hole-continues-healing-in-2024 Accessed 1/28/2025

Montreal Protocol, (Wikipedia) https://en.wikipedia.org/wiki/Montreal_Protocol#cite_note-6. Accessed 1/28/2025

Internal system malfunction of an anaesthesia workstation due to improper ambient conditions of the operating theatre