Current opinion in anaesthesiology · 2026
Sustainable anesthesia and environmental stewardship: balancing ecological responsibility with patient safety.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
McKeown Maya, Farid Pedrom, Chung Frances, Rao Anita
Аннотация
PURPOSE OF REVIEW: This narrative review aims to summarize and assess recent research in sustainable anesthesia and patient safety.
RECENT FINDINGS: Recent evidence characterizing volatiles as per- and polyfluoroalkyl substances, supports transitioning towards intravenous anesthesia where clinically appropriate. Potential ecotoxicity caused by propofol is minimal, and total intravenous anesthetic techniques are safe and effective. Reusable anesthetic equipment, such as laryngeal mask airways, breathing circuits, and patient warming devices, reduces greenhouse gas emissions and does not impact patient safety when proper sanitation protocols are followed. Virtual preoperative anesthetic consultations reduce greenhouse gas emissions, and recent randomized controlled trials found no difference in the accuracy of anesthetic assessment between virtual and in-person consultations. Finally, as extreme weather events continue to increase in frequency and intensity, we highlight the importance of climate-resilient systems in anesthesia.
SUMMARY: New literature in sustainable anesthesia emphasizes the importance of transitioning to intravenous anesthesia, using reusable equipment such as patient warming devices, virtual preoperative anesthesia consultations, and climate resiliency.
RECENT FINDINGS: Recent evidence characterizing volatiles as per- and polyfluoroalkyl substances, supports transitioning towards intravenous anesthesia where clinically appropriate. Potential ecotoxicity caused by propofol is minimal, and total intravenous anesthetic techniques are safe and effective. Reusable anesthetic equipment, such as laryngeal mask airways, breathing circuits, and patient warming devices, reduces greenhouse gas emissions and does not impact patient safety when proper sanitation protocols are followed. Virtual preoperative anesthetic consultations reduce greenhouse gas emissions, and recent randomized controlled trials found no difference in the accuracy of anesthetic assessment between virtual and in-person consultations. Finally, as extreme weather events continue to increase in frequency and intensity, we highlight the importance of climate-resilient systems in anesthesia.
SUMMARY: New literature in sustainable anesthesia emphasizes the importance of transitioning to intravenous anesthesia, using reusable equipment such as patient warming devices, virtual preoperative anesthesia consultations, and climate resiliency.