Why be sustainable? The Australian and New Zealand College of Anaesthetists Professional Document PS64: Statement on Environmental Sustainability in Anaesthesia and Pain Medicine Practice and its accompanying background paper

被引：26

作者：

McGain, Forbes ^{[1
]}

Ma, Scott C. Y. ^{[2
]}

Burrell, Rob H. ^{[3
]}

Percival, Vanessa G. ^{[4
]}

Roessler, Peter ^{[5
]}

Weatherall, Andrew D. ^{[6
]}

Weber, Ingo A. ^{[7
]}

Kayak, Eugenie A. ^{[8
]}

机构：

[1] Western Hlth Footscray Hosp, Dept Anaesthesia & Intens Care, Melbourne, Vic, Australia

[2] Womens & Childrens Hosp, Dept Childrens Anaesthesia, Adelaide, SA, Australia

[3] Middlemore Hosp, Dept Anaesthesia & Intens Care, Auckland, New Zealand

[4] Armadale Kelmscott Dist Mem Hosp, Perth, WA, Australia

[5] Australian & New Zealand Coll Anaesthetists, Melbourne, Vic, Australia

[6] Westmead Hosp, Dept Anaesthesia, Sydney, NSW, Australia

[7] Flinders Univ South Australia, Dept Anaesthesia & Pain Med, Adelaide, SA, Australia

[8] Alfred Hlth, Dept Anaesthesia, Melbourne, Vic, Australia

来源：

ANAESTHESIA AND INTENSIVE CARE | 2019年 / 47卷 / 05期

关键词：

Education and examinations; anaesthesia; quality assurance; intensive care; critical care; LIFE-CYCLE ASSESSMENT; BREATHING CIRCUITS; NITROUS-OXIDE; HEALTH; CLIMATE; PATIENT; WASTE; DESFLURANE; ISOFLURANE; LIFETIMES;

D O I：

10.1177/0310057X19884075

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Healthcare's environmental sustainability is increasingly an area of research and advocacy focus. The Australian and New Zealand College of Anaesthetists (ANZCA) has produced a professional document, PS64, Statement on Environmental Sustainability in Anaesthesia and Pain Medicine Practice, and a background paper, PS64 BP. The purpose of the statement is to affirm ANZCA's commitment to environmental sustainability and support anaesthetists in promoting environmentally sustainable work practices. This article presents the main features of PS64 and its background paper, and the associated supporting evidence. The healthcare sector is highly interconnected with activities that emit pollution to air, water and soils, considerably adding to humanity's collective ecological footprint. As anaesthetists, we are uniquely high-carbon doctors due to our work anaesthetising with greenhouse gases (particularly desflurane and nitrous oxide) and our exposure and contribution to large amounts of resource and energy use and waste generation in operating theatres. Discussion is made of the improving research base of anaesthetic life-cycle assessments-that is, cradle-to-grave studies of how much energy, water and so on a product or process requires throughout its entire life. Thereafter, reducing, reusing and recycling as well as water use are examined. Ongoing research efforts within environmentally sustainable anaesthesia are highlighted. Environmentally sustainable anaesthesia requires scholarship, health advocacy, leadership, communication and collaboration. The focus is placed on practical initiatives within PS64 and the background paper that can be achieved by all anaesthetists striving towards more sustainable healthcare practices that reduce waste, reap financial benefits and improve health.

引用

页码：413 / 422

页数：10