术后患者加热设备的可持续性评估:比较生命周期评估和成本计算
Thais Ayres Rebello1, Karina Spoyalo2, Gyan Chhipi-Shrestha1
1University of British Columbia, School of Engineering, Okanagan, BC, Canada.
British journal of anaesthesia
|June 20, 2025
概括
电阻毯提供了最可持续的外科手术期间患者加热解决方案,与其他方法相比,大大减少了环境和经济影响. 尽量减少法兰毯的使用是优化可持续性的关键.
科学领域:
- 环境科学 环境科学
- 卫生经济学 卫生经济学
- 手术护理 手术护理
背景情况:
- 在外科手术治疗中,外科手术期间的患者升温至关重要,但实践在很大程度上不同.
- 当前的变暖方法具有重大,但尚未评估的环境和经济足迹.
- 评估这些影响对于改善医疗保健的质量和可持续性至关重要.
研究的目的:
- 评估不同外科手术期间患者加热方法对环境和经济的影响.
- 为了比较主动加热设备 (强制空气,电阻毯,水衣) 和被动加热 (法兰毯).
- 为可持续的外科手术期间患者升温策略制定建议.
主要方法:
- 进行了比较生命周期评估 (LCA) 和生命周期成本计算 (LCC).
- 对于主动加热 (1小时) 和被动加热 (1毛毯) 定义了功能单位.
- 多标准决策分析将环境和财务影响汇总为各种临床情景的可持续性指数.
主要成果:
- 电阻毯显示了最小的环境和经济影响.
- 全球变暖潜力和累积能源需求在电阻毯与强制式空气暖气器相比显著较低.
- 最可持续的方法是在整个外科手术期间使用电阻毯;法兰毯带来了最大的环境影响.
结论:
- 优化外科手术期间患者加热的可持续性包括尽量减少法兰毯和一次性用品.
- 建议使用电阻毯进行主动变暖,以减少环境和经济负担.
- 这项研究提供了一个新的可持续性指数,并为基于证据的,可持续的患者变暖提供了实际建议.
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