对手术手术的碳足迹进行系统审查
Nicola de'Angelis1, Christel Conso2, Giorgio Bianchi1
1DIGEST department, unit of colorectal and digestive surgery, faculty of medicine, Beaujon university hospital, university of Paris Cité, AP-HP, Paris, France.
Journal of visceral surgery
|December 13, 2023
概括
手术室 (OR) 产生了显著的碳足迹,麻醉气体和能源使用是主要的贡献者. 实施有针对性的计划可以减少外科手术的排放和浪费.
科学领域:
- 环境科学 环境科学
- 手术科学 手术科学
- 公共卫生 公共卫生
背景情况:
- 人们越来越担心手术室 (OR) 的生态可持续性.
- 评估手术程序对环境的影响对于开发可持续的医疗保健实践至关重要.
研究的目的:
- 系统地审查各种外科专业的手术手术的碳足迹现有的文献.
- 确定OR环境中温室气体排放和废物产生的主要来源.
主要方法:
- 按照PRISMA的指导方针进行了系统的文献审查,搜索了MEDLINE,EMBASE和Cochrane图书馆.
- 独立审查员选了878篇文章,包括36篇原始研究,使用MINORS系统评估偏见风险.
- 分析了来自不同外科领域的数据,包括眼科,整体外科和妇科.
主要成果:
- 一次手术可以排放4-814千克的二氧化碳,主要来自麻醉气体和能源消耗.
- 与开放手术相比,微创手术可能会增加资源使用,包装和浪费.
- 每个病例的手术室产生0.2-4公斤的废物,因干预,医院和地点而异.
结论:
- 手术室为实施减少碳足迹和改善废物管理的计划提供了重要机会.
- 尽管方法异质,但研究结果强调了需要在手术护理中采用可持续的实践.
- 需要使用一致的方法进行进一步的研究,以更好地量化和减轻外科手术对环境的影响.
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