优化护理途径对麻醉的碳影响的潜在影响 咨询 - 一个单中心前性研究
Pierre Mora1, Aurélie Villette1, Oriane Saint Aubin1
1Department of Anaesthesia and Intensive Care, North Hospital, Marseille, France.
Anaesthesia, critical care & pain medicine
|December 24, 2024
概括
减少麻醉前咨询排放是可以实现的. 优化护理途径,比如电话咨询,可以将二氧化碳当量 (eCO2) 减少74%,显著降低医疗保健.
科学领域:
- 环境健康 环境健康
- 医疗保健管理的管理
- 可持续的医疗保健实践
背景情况:
- 全球变暖对公共卫生构成风险,医疗保健运输对二氧化碳相当 (eCO2) 排放有很大贡献.
- 虽然麻醉气体的排放已知,但麻醉前咨询的eCO2影响还未得到充分研究.
- 这项研究的重点是第三级大学医院,以评估和减轻这些咨询的碳足迹.
研究的目的:
- 评估与麻醉前咨询相关的二氧化碳等效 (eCO2) 排放.
- 提出和分析减少这些医疗保健服务对环境的影响的战略.
- 为了比较当前与优化的麻醉前咨询护理途径的eCO2.
主要方法:
- 在一个月的时间内进行了一项前性观察性研究,收集了参加麻醉前咨询的患者的数据.
- 来自患者运输和医院电力使用的计算eCO2排放.
- 研究的减排策略:电话咨询,远程咨询,分组预约,共享汽车和公共交通促进.
主要成果:
- 来自213名患者的数据显示,75%的患者仅参加咨询,其中82%乘坐汽车旅行.
- 每次咨询的平均eCO2为22.4公斤CO2 (95%CI:14.6-30.2).
- 在65%的案例中实施优化策略,可以将排放量减少74% (每次咨询减少5.6公斤CO2),每年节省274eCO2.
结论:
- 麻醉前的咨询为减少eCO2排放提供了巨大的潜力.
- 关键策略包括分组咨询和扩大远程咨询.
- 这些排放节约可与不使用德斯兰相美,并代表了朝着更绿色的麻醉实践迈出的重要一步.
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