固体废物和与之相关的环境影响 WALANT 手道释放在三个临床环境中进行
Audrey Le1, Stephen Douglas1, Jordan Baker1
1Departments of Plastic Surgery, Orthopedic Surgery, and Biostatistics & Date Science, University of Kansas Medical Center, Kansas City, KS.
The Journal of hand surgery
|February 7, 2025
概括
在临床环境中使用全醒局部麻醉,无带 (WALANT) 技术进行手腕道释放 (CTR),与手术室或门诊外科中心相比,固体废物和排放量明显减少.
科学领域:
- 外科手术程序对环境的影响
- 医疗保健中的废物管理
- 可持续的外科手术实践
背景情况:
- 带道释放 (CTR) 是美国普遍存在的一种手术.
- 完全清醒的局部麻醉,没有带 (WALANT) 技术使门诊CTR.
- 评估手术场所的环境足迹至关重要.
研究的目的:
- 量化WALANT CTR.的固体废物和排放量.
- 为了比较医院OR,ASC和诊所环境中的环境影响.
主要方法:
- 在6个月内对WALANT单边CTR进行前性研究.
- 对手术场所和废物进行数据收集,按材料类型划分.
- 使用英国政府因素计算碳排放.
主要成果:
- 临床环境产生了最少的废物 (0.7公斤) 和排放量 (8.3公斤CO2eq).
- 医院OR产生了最多的废物 (4.6公斤) 和排放量 (41.6公斤CO2eq).
- 门诊外科中心显示中间废物 (2.6公斤) 和排放量 (26.0公斤CO2eq).
结论:
- 根据目前的政策,该诊所是CTR最可持续的场所.
- 与OR和ASC相比,在诊所执行CTR可以减少环境影响.
- 将常见的手术转移到诊所,为外科手术中的环境可持续性提供了一个可行的策略.
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