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Healthcare Associated Infections II: Preventive Measures01:22

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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  1. Home
  2. Assessment Of The Carbon Footprint Of Total Hip Arthroplasty And Opportunities For Emission Reduction In A Uk Hospital Setting.
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  2. Assessment Of The Carbon Footprint Of Total Hip Arthroplasty And Opportunities For Emission Reduction In A Uk Hospital Setting.

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Assessment of the carbon footprint of total hip arthroplasty and opportunities for emission reduction in a UK

Preetham Kodumuri1, Pushkar Joshi1, Ibrahim Malek1

  • 1Wrexham Maelor Hospital, Wrexham, UK.

Bone & Joint Open
|September 9, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

The carbon footprint of total hip arthroplasty (THA) is substantial, with key contributors including operating theatre consumables, waste, and energy use. Strategies like instrument rationalization and improved waste recycling can reduce emissions in orthopaedic surgery.

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Area of Science:

  • Orthopaedic Surgery
  • Environmental Science
  • Life Cycle Assessment

Background:

  • Total hip arthroplasty (THA) is a common surgical procedure with an associated environmental impact.
  • Assessing the carbon footprint of THA is crucial for developing sustainable healthcare practices.

Purpose of the Study:

  • To quantify the carbon footprint of total hip arthroplasty (THA) in a UK hospital.
  • To identify key emission sources within the operating theatre for THA procedures.
  • To propose actionable strategies for reducing the environmental impact of orthopaedic surgery.

Main Methods:

  • A prospective life-cycle assessment was conducted on 20 THA cases (10 cemented, 10 hybrid).
  • Carbon emissions (Scope 1 and 2) were evaluated from the anaesthetic room to patient recovery.
  • Data collection included consumables, waste generation, and energy consumption during surgery.
  • Main Results:

    • The carbon footprint for uncemented THA was 100.02 kg CO2e, and for hybrid THA, it was 104.89 kg CO2e.
    • Major contributors to the carbon footprint were operating theatre consumables (21%), waste generation (22%), and Scope 2 emissions (38%).
    • Identified emission reduction opportunities include instrument rationalization, LED lighting, and enhanced waste recycling.

    Conclusions:

    • THA procedures have a significant carbon footprint that requires attention.
    • Sustainable practices, such as optimizing resource use and waste management, are essential in orthopaedic surgery.
    • The study encourages a re-evaluation of single-use versus reusable items to promote environmental responsibility in surgical settings.