儿科麻醉的可持续性标准:质量倡议,以减少昂贵,对环境有害的挥发性麻醉剂
Andrew T Waberski1, Sophie R Pestieau1, Caroll Vazquez-Colon1
1From the George Washington School of Medicine, Department of Anesthesiology, Pain, and Perioperative Medicine, Children's National Hospital, Washington, D.C.
Pediatric quality & safety
|December 13, 2023
概括
通过减少使用Desflurane和低流量技术,麻醉产生的温室气体 (GHG) 排放量减少了77%. 这项质量改善计划还将儿童医院的相关成本降低了41%.
科学领域:
- 环境科学 环境科学
- 麻醉学 麻醉学
- 医疗保健的可持续性 医疗保健的可持续性
背景情况:
- 来自麻醉剂的温室气体 (GHG) 对全球变暖作出了重大贡献.
- 挥发性麻醉剂的全球变暖潜力高达二氧化碳的2000倍.
- 启动了一项质量改进计划,以建立可持续性标准,以减少儿科医院的麻醉剂温室气体排放和成本.
研究的目的:
- 制定和实施可持续性标准,以减少挥发性麻醉剂温室气体排放.
- 为了降低与麻醉气体使用相关的财务成本.
- 为了减轻儿童医院麻醉实践对环境的影响.
主要方法:
- 实施了对麻醉剂对环境影响的员工教育.
- 引入了临床提醒和可持续实践指南.
- 标准化低流量气体设置,减少蒸发器可用性和更新的临床政策.
- 分析了 (2018-2022) 药房购买数据,以比较Isoflurane,Sevoflurane和Desflurane的温室气体排放量和成本.
主要成果:
- 在三年内,从挥发性麻醉剂中减少了77%的温室气体排放.
- 减少排放的主要驱动因素是减少使用和消除德斯兰.
- 在同一时期,报告了相关购买成本大幅下降41%.
结论:
- 通过减少使用Desflurane并采用低流动麻醉,成功降低了温室气体排放和成本.
- 证明了简单干预措施在减轻麻醉对环境的影响方面的有效性.
- 解决了医疗保健系统对儿科患者的影响,并提出了可持续的麻醉实践.
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