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Related Concept Videos

Psychosurgery01:30

Psychosurgery

46
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
46

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Towards net-zero operating in neurosurgery.

Rebecca Hodnett1, Megan Murphy2, Adam Williams1

  • 1Department of Neurosurgery, North Bristol Trust, Bristol, UK.

British Journal of Neurosurgery
|October 26, 2024
PubMed
Summary
This summary is machine-generated.

Implementing sustainable practices in neurosurgery significantly reduced carbon emissions by 31% without impacting patient safety or operative time. This demonstrates the feasibility of greener operating rooms.

Keywords:
Green surgerygreen operatingnet-zero operatingsustainability in surgery

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Area of Science:

  • Environmental Science
  • Public Health
  • Surgical Innovation

Background:

  • The climate crisis poses a significant threat to public health.
  • Surgical procedures, particularly within the National Health Service (NHS), are substantial contributors to carbon emissions.
  • There is a growing need for sustainable practices in healthcare settings.

Purpose of the Study:

  • To evaluate the impact of a 'Green operating day' on reducing the carbon footprint in neurosurgical theatres.
  • To assess the feasibility and effectiveness of evidence-based methods for sustainable surgery.
  • To analyze changes in consumables, surgical instruments, and utilities to minimize environmental impact.

Main Methods:

  • A single-site, 12-hour 'Green operating day' involving 10 neurosurgical cases was conducted.
  • Collaborative discussions with theatre, anaesthetic, and sustainability teams informed changes.
  • Carbon footprint was calculated using an environmentally extended input-output model, comparing baseline and Green operating day scenarios.
  • Qualitative data on participant attitudes towards sustainability in neurosurgery was collected.

Main Results:

  • A 31% reduction in carbon emissions was achieved, equivalent to 1.04 tonnes of carbon dioxide equivalent (CO2e).
  • Reductions were observed across various surgical aspects, including anaesthetics, surgical instruments, waste management, and utility consumption.
  • No increase in operative duration or adverse patient outcomes was associated with the implemented sustainable practices.

Conclusions:

  • Sustainable operating is feasible in neurosurgical theatres.
  • Implementing evidence-based methods can significantly reduce the carbon footprint of surgical procedures.
  • Environmentally conscious decision-making should be advocated for in neurosurgical practice to mitigate climate change impacts on public health.