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集体和节省在可选和紧急手术中的碳足迹

A V Robinson¹, O Moses², J A Bass³

¹University Hospitals Sussex NHS Foundation Trust, UK.

Annals of the Royal College of Surgeons of England

|June 13, 2025

概括

在手术中减少不必要的组和保存 (G&S) 血液测试可以显著减少碳排放和成本. 有证据表明,大多数输血发生在手术后,而不是手术期间,因此常规G&S测试往往是多余的.

科学领域:

医疗保健的可持续性医疗保健的可持续性
外科手术的安全性
环境医学环境医学

背景情况:

气候变化对公众健康构成重大威胁.
医院的外科护理对碳足迹做出了重大贡献.
术后组和保存 (G&S) 血液检测实践在没有强有力的证据基础的情况下存在很大差异.

研究的目的:

分析术后组的必要性和碳影响,并保存 (G&S) 血液检测.
确定减少手术途径中低价值调查的机会.
通过优化G&S测试来量化潜在的碳和成本节约.

主要方法:

在6个月内对所有操作和封装红细胞请求的回顾性分析.
根据手术类型对患者进行分类,并与输血数据进行交叉引用.
使用自下而上的方法计算G&S测试的碳足迹 (CO2e).

主要成果:

分析包括15293次操作和637个红细胞请求.
大多数输血发生在术后;只有36个选择性病例需要手术内输血.
G&S测试的碳足迹为0.43公斤CO2e (住院患者) 和7公斤CO2e (门诊患者).

结论:

在各种手术过程中,输血的要求有很大差异.
术后G&S测试的指导方针应该更新以反映特定程序的需求.
优化G&S测试可以大大节省碳排放,成本和资源.

关键词:

我们的碳足迹组建并保存一个组.操作操作操作操作可持续发展可持续性可持续性输血输血输血输血输血

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