Moving towards green anaesthesia: Are patient safety and environmentally friendly practices compatible? A focus on single-use devices

Reynier, Thibault; Berahou, Mathilde; Albaladéjo, Pierre; Beloeil, Hélène

doi:10.1016/j.accpm.2021.100907

Cited by 28 publications

(14 citation statements)

References 102 publications

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“…Unauthorized distribution is strictly prohibited. use medical devices in the operating theatre does not significantly reduce patients' risk of infection but has a greater financial, environmental, and social impact than use of reusable devices [123].…”

Section: Position Statementmentioning

confidence: 99%

“…The environmental impact of this transition in GI endoscopy has not been formally addressed and lacks solid scientific background. Data from the anesthesia community indicate that the widespread use of single-use medical devices in the operating theatre does not significantly reduce patients’ risk of infection but has a greater financial, environmental, and social impact than use of reusable devices 123 .…”

Section: The Path Towards Environmentally Sustainable Gi Endoscopy ( ...mentioning

confidence: 99%

“…GI and endoscopy societies should collaborate with industry to minimize the environmental burden of single-use devices. use medical devices in the operating theatre does not significantly reduce patients' risk of infection but has a greater financial, environmental, and social impact than use of reusable devices [123].…”

Section: Single-use Accessoriesmentioning

confidence: 99%

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Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement

Dinis‐Ribeiro²,

et al. 2022

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Climate change and the destruction of ecosystems by human activities are among the greatest challenges of the 21st century and require urgent action. Health care activities significantly contribute to the emission of greenhouse gases and waste production, with gastrointestinal (GI) endoscopy being one of the largest contributors. This Position Statement aims to raise awareness of the ecological footprint of GI endoscopy and provides guidance to reduce its environmental impact. The European Society of Gastrointestinal Endoscopy (ESGE) and the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) outline suggestions and recommendations for health care providers, patients, governments, and industry. Main statements 1 GI endoscopy is a resource-intensive activity with a significant yet poorly assessed environmental impact. 2 ESGE-ESGENA recommend adopting immediate actions to reduce the environmental impact of GI endoscopy. 3 ESGE-ESGENA recommend adherence to guidelines and implementation of audit strategies on the appropriateness of GI endoscopy to avoid the environmental impact of unnecessary procedures. 4 ESGE-ESGENA recommend the embedding of reduce, reuse, and recycle programs in the GI endoscopy unit. 5 ESGE-ESGENA suggest that there is an urgent need to reassess and reduce the environmental and economic impact of single-use GI endoscopic devices. 6 ESGE-ESGENA suggest against routine use of single-use GI endoscopes. However, their use could be considered in highly selected patients on a case-by-case basis. 7 ESGE-ESGENA recommend inclusion of sustainability in the training curricula of GI endoscopy and as a quality domain. 8 ESGE-ESGENA recommend conducting high quality research to quantify and minimize the environmental impact of GI endoscopy. 9 ESGE-ESGENA recommend that GI endoscopy companies assess, disclose, and audit the environmental impact of their value chain. 10 ESGE-ESGENA recommend that GI endoscopy should become a net-zero greenhouse gas emissions practice by 2050.

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Section: Position Statementmentioning

confidence: 99%

Section: The Path Towards Environmentally Sustainable Gi Endoscopy ( ...mentioning

confidence: 99%

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Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement

Dinis‐Ribeiro²,

et al. 2022

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“…Systematic reviews carried out by Seifert et al (29) and Reynier et al (30) demonstrated how LCA can be used to estimate the carbon footprint of hospitals, particularly regarding operating room management (31)(32)(33). However, none of the papers included in those reviews addressed how to integrate environmental considerations into guidelines.…”

Section: Health Carementioning

confidence: 99%

Incorporating environmental and sustainability considerations into health technology assessment and clinical and public health guidelines: a scoping review

Pinho-Gomes

Yoo

Allen

et al. 2022

Int J Technol Assess Health Care

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Healthcare systems account for a substantial proportion of global carbon emissions and contribute to wider environmental degradation. This scoping review aimed to summarize the evidence currently available on incorporation of environmental and sustainability considerations into health technology assessments (HTAs) and guidelines to support the National In stitute for Health and Care Excellence and analogous bodies in other jurisdictions developing theirown methods and processes. Overall, 7,653 articles were identified, of which 24 were included in this review and split into three key areas – HTA (10 studies), healthcare guidelines (4 studies), and food and dietary guidelines (10 studies). Methodological reviews discussed the pros and cons of different approaches to integrate environmental considerations into HTAs, including adjustments to conventional cost-utility analysis (CUA), cost–benefit analysis, and multicriteria decision analysis. The case studies illustrated the challenges of putting this into practice, such as lack of disaggregated data to evaluate the impact of single technologies and difficulty in conducting thorough life cycle assessments that consider the full environmental effects. Evidence was scant on the incorporation of environmental impacts in clinical practice and public health guidelines. Food and dietary guidelines used adapted CUA based on life cycle assessments, simulation modeling, and qualitative judgments made by expert panels. There is uncertainty on how HTA and guideline committees will handle trade-offs between health and environment, especially when balancing environmental harms that fall largely on society with health benefits for individuals. Further research is warranted to enable integration of environmental considerations into HTA and clinical and public health guidelines.

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“…The Green Team is a collaborative support network that involves surgeons, anesthetists, scrub and circulating nurses, residents, clinical engineerings and administrative staff. 8 It will discuss and implement green behaviour in the workplace while providing hospital executives and clinicians with measurable results by circulating periodical reports on the achieved targets. Involving junior staff members and residents is key to accelerate this process and spread the green awareness that is needed towards this cultural transformation.…”

Section: The Hospital Green Teammentioning

confidence: 99%

My OR goes green: Surgery and sustainability

et al. 2022

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Moving towards green anaesthesia: Are patient safety and environmentally friendly practices compatible? A focus on single-use devices

Cited by 28 publications

References 102 publications

Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement

Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement

Incorporating environmental and sustainability considerations into health technology assessment and clinical and public health guidelines: a scoping review

My OR goes green: Surgery and sustainability

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