胃肠道手术对环境的影响:在内镜装置中对废物产生,能源消耗和审计进行前性研究
Madhav Desai1, Carlissa Campbell1, Abhilash Perisetti1
1Department of Gastroenterology, Kansas City Veterans Affairs Medical Center, Kansas City, Missouri.
Gastroenterology
|December 20, 2023
概括
胃肠内镜产生大量的废物和消耗能量,其中20%的废物是可回收的. 实施废物分离可以减少对环境的影响,并促进可持续的内镜实践.
科学领域:
- 医疗保健中的环境科学
- 胃肠病学 胃肠病学
- 可持续的医疗保健实践
背景情况:
- 胃肠道内镜对于诊断和治疗胃肠道疾病至关重要.
- 这些程序对医疗保健机构的环境浪费和能源消耗做出了重大贡献.
研究的目的:
- 量化废物产生和能源消耗在第三级护理学术内镜单元.
- 在程序废物流中识别潜在的可回收材料.
- 建立一个减少内镜环境影响的模型.
主要方法:
- 在两个月内收集关于废物 (固体,液体,生物危险,可回收) 和能源使用的未来数据.
- 对程序项目进行详细的库存审计,包括个人防护设备和再加工废物.
- 废物的分层分为生物危险,非生物危险和潜在的可回收类别.
主要成果:
- 450个程序产生了1398.6公斤的废物 (3.03公斤/程序),其中61.6%的废物被填埋.
- 内镜再处理每天产生194加的液体废物 (13.85加/程序).
- 100个程序产生了1501公斤二氧化碳等价物,其中20%的总废物是潜在的可回收废物.
结论:
- 每100个GI内镜程序产生大量的固体 (303公斤) 和液体 (1385加) 废物,以及大量的能源消耗.
- 大约20%的产生的废物包括潜在的可回收材料.
- 这些发现为卫生系统提供了一个框架,通过减少浪费和改善环境实践来开发可持续的内镜装置.
相关概念视频
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
121
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
121
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88
01:17Assessment of the Gastrointestinal System I: Subjective Data
199
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
199
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
119
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
119
01:26Endoscopic Procedures V: ERCP
254
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
254
01:23Lower GI Series: Barium Enema
286
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
286