与手术室中类似手术相比,儿童小程序室产生的废物较少
Sukham K Brar1, Rainaa Kanabar2, John Vecchio3
1Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Journal of pediatric surgery
|December 3, 2025
概括
小手术室 (MPR) 与儿科手术的手术室 (OR) 相比,显著减少了手术废物和温室气体排放. 这凸显了MPR作为适当手术的可持续替代品.
科学领域:
- 环境科学 环境科学
- 手术创新 在外科创新.
- 医疗保健的可持续性 医疗保健的可持续性
背景情况:
- 手术室 (OR) 是医院废物和温室气体排放的重要贡献者,占医院总废物的33%.
- 在OR中未充分使用的外科仪器托盘加剧了废物产生.
- 小手术室 (MPR) 为特定的外科病例提供了潜在的低浪费替代方案.
研究的目的:
- 为了比较常见的儿科外科手术程序的MPR和OR之间的废物生产和温室气体 (GHG) 排放.
- 为了评估两种环境中的仪器使用情况.
主要方法:
- 在MPR和OR中对三项儿科手术 (双边肌肉切除术和管道的腺切除术,港口移除,割礼) 进行了十二次审计.
- 计算温室气体排放量 (千克CO2e) 和测量废物流 (回收,垃圾,生物危险) 从设置到案件结束.
- 分析仪表盘照片以评估使用率.
主要成果:
- 与OR相比,MPR显示了大量的废弃物减少:57.6%的腺切除术/BMT,49.5%的移植移除,和86.6%的割礼.
- 在MPR过程中,温室气体排放量显著降低 (2.40公斤CO2e) 与OR (18.64公斤CO2e) 相比.
- 关键的OR废物来源包括一次性麻醉电路,个人防护设备和织窗;腺切除术托盘显示在MPR中仪器利用率最高.
结论:
- 对于所研究的儿科手术,MPR总是比OR产生更少的废物和更低的温室气体排放.
- 实施可重复使用的材料,优化无菌场,精制仪表盘的内容,可以进一步减少外科浪费.
- 扩大MPR用于合适的儿科手术的使用,可以提高外科护理的环境可持续性.
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