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手术室中的环境可持续性:在麻醉科医生中进行的一项全球调查
Patricio Gonzalez-Pizarro1, Susanne Koch1, Jane Muret1
1From the Department of Paediatric Anaesthesia and Critical Care, La Paz Children's University Hospital, Madrid, Spain, IdiPAZ Research Institute, Madrid, Spain (PGP, FRB), Department of Anesthesiology and Operative Intensive Care Medicine, Charité Universitätsmedizin, Berlin, Germany (SK), Department of Anaesthesia and Intensive Care. Institute Curie & PSL Research University, Paris, France (JM), Department of Anaesthesia. LMU University Hospital, Munich, Germany (AT), Department of Anaesthesia, Intensive Care and Emergency, Città della Salute e della Scienza (LB), Department of Surgical Science, University of Turin, Turin, Italy (LB), Clinical Epidemiology Unit, Department of Preventive Medicine, Hospital Universitario La Paz, Madrid, Spain (JDS), Department of Anaesthesiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands, (MMRFS), and Department of Basic and Applied Medical Sciences, Ghent University, Ghent, Belgium (MMRFS).
麻醉师经常使用吸入麻醉剂,但许多人不知道它们对环境的影响. 在全球范围内,可持续的麻醉策略未得到充分利用,其实施因国家收入而异,这凸显了教育的必要性.
科学领域:
- 麻醉学 麻醉学
- 环境科学 环境科学
- 医疗保健的可持续性 医疗保健的可持续性
背景情况:
- 医疗保健部门对全球碳排放 (5.2%) 作出了重大贡献.
- 手术室资源密集,能源需求高,废物产生有助于其碳足迹.
- 吸入麻醉剂在环境影响方面存在很大差异;德斯弗的碳足迹比塞沃弗的碳足迹要高得多,一些药物具有破坏臭氧层的特性.
研究的目的:
- 确定影响采用可持续麻醉实践的因素.
- 评估麻醉科医生对麻醉剂对环境的影响的认识.
- 探索社会经济因素与可持续麻醉的实施之间的关系.
主要方法:
- 一项针对75个国家的1237名麻醉学临床医生的国际调查.
- 在2021年4月至2022年4月期间收集的数据.
- 研究了麻醉选择,对环境影响的认识,以及可持续实践的障碍.
主要成果:
- 64%的受访者每天使用吸入麻醉剂,而塞沃兰是首选的药物 (83%).
- 许多临床医生 (45%) 没有意识到不同麻醉气体的相对碳足迹.
- 由于担心患者安全和设备的局限性,低流麻醉技术未得到充分利用,可持续实践实施在国家GDP的基础上有很大的差异.
结论:
- 尽管它们对环境造成影响,化麻醉气体仍然被广泛使用.
- 麻醉科医生之间存在一个重要的知识差距,关于麻醉剂的全球变暖潜力.
- 可持续的麻醉策略尚未得到广泛实施,需要进一步的教育和可获得的技术,特别是在低收入国家.
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