Suggested strategies to reduce the carbon footprint of anesthetic gases in the operating room

Caycedo‐Marulanda, Antonio; Mathur, Sanjiv

doi:10.1007/s12630-021-02120-0

Cited by 7 publications

(3 citation statements)

References 3 publications

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“…Finally, the opportunity to use low doses of anesthetic drugs represents a challenge not only for animal health but also for the environment. The influence of anaesthetic gases on global warming is being investigated, as some authors claim that volatile anaesthetics are halogenated compounds destructive to the ozone layer, so any protocol leading to a reduction of these drugs in addition to safeguarding animal welfare may also improve environmental pollution [ 37 , 38 , 39 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of Cisatracurium in Sevoflurane and Propofol Requirements in Dog-Undergoing-Mastectomy Surgery

Interlandi

Pietro

Costa

et al. 2022

Animals

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The purpose of the present study was to test whether the addition of cisatracurium in combination with propofol and sevoflurane would result in a change in doses of used anesthetic drugs. Ten dogs (Group A) undergoing elective unilateral mastectomy surgery were included in the study. To induce and maintain anesthesia, subjects received propofol and sevoflurane at varying doses; analgesia was performed with remifentanil. After three months, the same subjects (Group B) underwent contralateral mastectomy and received the same anesthetic protocol with the addition of cisatracurium at a dosage of 0.2 mg/kg−1. The following parameters were monitored during anesthesia: heart rate, systolic blood pressure, end-tidal CO2, oxygen saturation, halogenate requirement, and rectal temperature at baseline (T0), induction (T1), 5 (T5), 10 (T10), 15 (T15), 20 (T20), 25 (T25), 30 (T30), and 35 (T35) time points. In Group A, halogenate requirement was reduced at all the time points other than T1 (p < 0.001); in Group B, the percentage of halogenate requirement was already reduced at T1 and remained constant during the experimental period, showing no significant intragroup differences. The dose requirements of sevoflurane and propofol varied significantly between the two groups, with significantly lower dosages in the Group B (the cisatracurium-treated group). Moreover, patients treated with cisatracurium showed a stable anesthetic plan. The nondepolarizing-muscle-relaxant cisatracurium besylate could be considered a useful adjunct to anesthetic protocols.

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Section: Discussionmentioning

confidence: 99%

Effects of Cisatracurium in Sevoflurane and Propofol Requirements in Dog-Undergoing-Mastectomy Surgery

Interlandi

Pietro

Costa

et al. 2022

Animals

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show abstract

“…Commonly cited opportunities to do so include substitution of the highly volatile anaesthetic gas desflurane with greener alternatives like sevoflurane 12. Similarly, metered dose inhalers contain hydrofluorocarbon propellants which are potent greenhouse gases and can be substituted with dry powder inhalers for many patients 13.…”

Section: Identification Of Climate-intensive Overuse Prioritiesmentioning

confidence: 99%

Choosing Wisely and the climate crisis: a role for clinicians

2023

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“…Whilst data in animals with sepsis treated with volatile anaesthetics look promising, a new debate has started. The scientific community has suggested carefully considering using TIVA in preference to volatile anaesthetics whenever possible, 6 , 7 , 8 as volatile anaesthetics are greenhouse gases with a global warming potential. 9 Approximately 50% of the greenhouse gas emissions from the entire healthcare system come from perioperative patient care.…”

mentioning

confidence: 99%

Volatile sedation in sepsis: a promising therapeutic approach or a venture doomed to fail?

Schläpfer¹,

Beck‐Schimmer²

2022

BJA Open

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Suggested strategies to reduce the carbon footprint of anesthetic gases in the operating room

Cited by 7 publications

References 3 publications

Effects of Cisatracurium in Sevoflurane and Propofol Requirements in Dog-Undergoing-Mastectomy Surgery

Effects of Cisatracurium in Sevoflurane and Propofol Requirements in Dog-Undergoing-Mastectomy Surgery

Choosing Wisely and the climate crisis: a role for clinicians

Volatile sedation in sepsis: a promising therapeutic approach or a venture doomed to fail?

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