评估冠状动脉旁路移植对环境的影响,以减少其足迹
Egid M van Bree1,2, Tim Stobernack1, Tadzjo Boom1
1Department of Intensive Care Medicine, Radboudumc, Nijmegen, Netherlands.
概括
减少一次性产品和优化手术室的能源使用,可以显著降低冠状动脉绕道移植 (CABG) 手术对环境的影响. 本研究确定了心脏手术中可持续医疗保健转型的关键领域.
科学领域:
- 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
- 生命周期评估 生命周期评估
背景情况:
- 医疗保健系统面临着越来越大的压力,需要采用环境可持续的做法.
- 冠状动脉旁路移植 (CABG) 是一种常见的手术程序,具有显著的环境足迹.
- 在心脏手术轨迹中迫切需要缓解策略.
研究的目的:
- 确定冠状动脉旁路移植 (CABG) 患者轨迹中减轻环境影响的关键领域.
- 量化与标准CABG程序相关的环境负担.
- 提供基于数据的建议,为心脏手术中可持续的医疗保健提供建议.
主要方法:
- 根据ISO14040/44指南进行了标准化生命周期评估 (LCA).
- 分析了个体患者从手术室入院到重症监护室出院的轨迹.
- 从荷兰一家学术医院收集了12名患者的产品,流程和服务数据,使用ReCiPe 2016方法计算影响.
主要成果:
- 一个单一的CABG轨迹产生了414公斤CO2等价物,相当于2753公里的驾驶.
- 主要的环境影响包括全球变暖,颗粒物,毒性,土地利用和酸化.
- 全球变暖的最大贡献者是一次性手术室产品 (162公斤CO2eq),能源消耗 (48公斤CO2eq) 和工作人员通勤 (36公斤CO2eq).
结论:
- 全球变暖是CABG轨迹的主要环境问题.
- 减少或用可重复使用的替换一次性外科产品提供了显著的缓解潜力.
- 优化手术室能源系统,向可再生能源过渡,促进低排放通勤对于进一步减轻影响至关重要.
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