评估重症监护中的镇静实践的碳足迹
Jie Lin Soong1,2, Pei Lin Ho1, Valerie Ser Hwee Neo3
1Division of Pharmacy, Singapore General Hospital, Singapore, Singapore.
Nursing in critical care
|June 12, 2024
概括
在重症监护室 (ICU) 的镇静实践有助于医疗保健.
科学领域:
- 医疗保健中的环境可持续性
- 重症监护病房 (ICU) 资源管理
- 制药碳足迹分析的方法
背景情况:
- 医疗保健对全球碳排放做出了重大贡献 (4.4%).
- 重症监护室 (ICU) 是一种资源密集型的环境.
- 有限的研究量化了ICU中药物的碳足迹.
研究的目的:
- 评估与ICU中的镇静实践相关的碳足迹.
- 量化来自镇静剂和止痛药使用和浪费的温室气体排放.
主要方法:
- 在两个ICU进行7周的试点,前性观察性研究.
- 收集了关于使用和浪费的总量止痛药和镇静剂的数据.
- 使用生命周期评估数据量化碳排放量.
主要成果:
- 芬太尼和普罗波是最常用的药物.
- 镇静剂使用和浪费的碳足迹分别为2.206公斤CO2-e和0.286克CO2-e.
- 药物浪费率从5.1%到25.0%不等,主要是由于药物不再具有临床适用性.
结论:
- 镇静实践,包括药物使用和浪费,有助于ICU的碳足迹.
- 向镇静实践可以帮助减少重症监护机构中不必要的碳排放.
- 建议包括选择碳排放较低的镇静剂,以及改善沟通以尽量减少浪费.
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