可持续的麻醉学:在外科手术期间的护理中,基于证据的环境管理策略
1Department of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, 291, Chuo-Ku, Sapporo, Hokkaido, 060-8543, Japan. yamakage@sapmed.ac.jp.
Journal of anesthesia
|January 30, 2026
概括
可持续的麻醉实践显著减少了医疗保健的使用.
科学领域:
- 环境科学 环境科学
- 麻醉学 麻醉学
- 公共卫生 公共卫生
背景情况:
- 医疗保健部门在全球温室气体排放中贡献了4.4%.
- 麻醉学显著影响通过挥发性麻醉剂的排放.
- 德斯氨酸的全球变暖潜力是塞沃氨酸的20倍.
研究的目的:
- 审查当前麻醉实践对环境的影响.
- 评估基于证据的可持续麻醉治疗策略.
主要方法:
- 这篇叙事综述检查了有关麻醉剂环境影响和可持续性的现有文献.
- 分析的重点是比较不同麻醉技术的排放.
主要成果:
- 德斯兰是最对环境有害的挥发性麻醉剂.
- 与挥发性技术 (每小时3.1-3.8公斤二氧化碳等价物) 相比,静脉内全麻醉 (TIVA) 的排放量要低得多 (0.4公斤二氧化碳等价物/小时).
- 低流动麻醉可以减少50-75%的挥发性剂消耗,而不会影响患者的安全.
结论:
- 可持续的麻醉实践可以显著减少对环境的影响.
- 消除德斯弗,使用低流量技术和增加TIVA利用是关键策略.
- 针对不同的医疗保健环境,包括亚洲环境,需要量身定制的实施.
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