实践者仪表板对麻醉剂温室气体排放的反的影响:一个潜在的绩效改进调查
Ronald A Kahn1, Natalia Egorova2, Yuxia Ouyang2
1Department of Anesthesiology, Perioperative and Pain Medicine, The Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1010, New York, NY, 10029, USA. Ron.kahn@mountsinai.org.
个性化的供应商仪表板减少了麻醉气体二氧化碳等效 (CDE) 产量和新鲜气体流量 (FGF). 这项绩效改进项目证明了在麻醉中减少环境影响的成功策略.
科学领域:
- 环境科学 环境科学
- 麻醉学 麻醉学
- 医疗保健管理的管理
背景情况:
- 麻醉气体是全球变暖的重要贡献者.
- 减少麻醉气体排放对于医疗保健中的环境可持续性至关重要.
研究的目的:
- 评估个性化提供者仪表板反对麻醉气体二氧化碳当量 (CDE) 生产和新鲜气体流量 (FGF) 的影响.
- 评估绩效改进项目的有效性,以减少麻醉气体使用对环境的影响.
主要方法:
- 这项为期两年的研究涉及53,294名患者和79名麻醉师.
- 使用自定义的SQL查询来确定每小时的CDE和FGF中位数.
- 在第二年实施了每月个性化提供者仪表板,以提供对CDE和FGF的反.
主要成果:
- 中位数的FGF从2.0降至1.9 l/min (p < 0.001).
- 总体而言,CDE总量显著下降,从5.10到3.59公斤/小时 (p < 0.001).
- 仪表板反与CDE总量的初始下降和更快的下降率有关,特别是对异和脱.
结论:
- 个性化提供者仪表板反是减少新鲜气体流量和麻醉剂温室气体排放的有效工具.
- 这种干预表明了一种实际的方法,以提高外科手术期间护理的环境可持续性.
- 进一步的研究可能会探索优化仪表板设计和反机制的持续影响.
更多相关视频
07:51Evaluation of Capnography Sampling Line Compatibility and Accuracy when Used with a Portable Capnography Monitor
Published on: September 29, 2020
08:49Assessing Changes in Volatile General Anesthetic Sensitivity of Mice after Local or Systemic Pharmacological Intervention
Published on: October 16, 2013
相关概念视频
Inhalational Anesthetics: Overview
Assessment of Diffusion and Perfusion
The Role of Diffusion in Respiration
Diffusion is the process by which molecules move from an area of higher concentration to an area of lower concentration. In the respiratory system, this...
Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...
Stages of General Anesthesia
Obedience
