Enquête sur les changements de prescriptions des gaz anesthésiants après sensibilisation à leurs impacts climatiques

Khass, Zineb; Paries, Marie; Jacquens, Alice; Kallel, Bassem; Rafat, Cédric; Degos, Vincent; Rémy, Bernard

doi:10.1016/j.anrea.2020.11.012

Cited by 2 publications

(2 citation statements)

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“…Our results show that anaesthesiologists take account of the environmental impact of anaesthesic gases in their practice, in agreement with another recent study. 25 These changes have come about thanks to life cycle studies performed in the 2000s and reports by learned societies. 11 , 26 Currently, the balance between patient benefit and environmental risk for desflurane and nitrous oxide means that sevoflurane is the anaesthetic gas of choice.…”

Section: Discussionmentioning

confidence: 99%

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Environmentally Sustainable Practices in the Operating Room: A French Nationwide Cross-Sectional Survey of Anaesthesiologists and Nurse Anaesthesiologists

Tordjman¹,

Pernod²,

Bouvet³

et al. 2022

Turk J Anaesthesiol Reanim

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Objective: In France, healthcare facilities account for 7% of greenhouse gas emissions and 3.5% of total waste generation. Operating rooms generate 30% of hospital waste and hence should be a primary focus of environmental sustainability initiatives. The aim of this study was to evaluate environmentally sustainable anaesthesiology practices in France in 2020 and understand the barriers to their adoption. Methods: An anonymous survey of 28 questions was published online. The website did not record participants’ IP addresses. The survey’s link was sent by email to anaesthesiologist and anaesthesia nurse members of the French Society of Anesthesia and Intensive Care Medecine (SFAR), in February and June 2020. The survey was closed in August 2020. Results: Of the 10 877 recipients, 1092 (10%) responded to the questionnaire. Waste sorting was organized in 69% of respondents’ workplaces (691/1007), and 90% (793/879) of respondents stated that they most often followed the instructions. Sixty-five percent (659/1007) of respondents avoided using the most polluting anaesthetic gases. Thirty-nine percent of respondents (417/1064) had already received environmental sustainability training and 73% (705/972) stated that they wanted more training. The main barriers to the adoption of recycling identified by respondents were staff training (by 70% of respondents, 691/993), budget constraints (66%, 652/993), and a lack of administrative support (60%, 602/993). Conclusion: French anaesthesiologists and anaesthesia nurses who responded to the survey are environmentally aware and want to improve sustainable practices in the operating room. More widespread adoption could be achieved by offering training to all healthcare professionals and administrative staff and by creating local environmental focus groups to coordinate actions.

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Section: Discussionmentioning

confidence: 99%

“… 22 - 24 In France, the changes in halogenated gas use associated with environmental information campaigns among anaesthesiologists have recently been studied. 25 However, recycling and environmentally sustainable practices and obstacles to their adoption have never been studied.…”

Section: Introductionmentioning

confidence: 99%