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Influence of Practitioner Dashboard Feedback on Anesthetic Greenhouse Gas Emissions: A Prospective Performance Improvement Investigation.
J Med Syst
January 2025
Department of Anesthesiology, Perioperative and Pain Medicine, The Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1010, New York, NY, 10029, USA.
Anesthetic gases contribute to global warming. We described a two-year performance improvement project to examine the association of individualized provider dashboard feedback of anesthetic gas carbon dioxide equivalent (CDE) production and median perioperative fresh gas flows (FGF) during general anesthetics during perioperative management. Using a custom structured query language (SQL) query, hourly CDE for each anesthetic gas and median FGF were determined.
View Article and Find Full Text PDFEnvironmental impact of commonly used anaesthetic agents: systematic literature review with narrative synthesis.
BJA Open
March 2025
Department of Anaesthesia, The William Harvey Hospital, Ashford, UK.
Background: Increasing awareness of the potential environmental impact of volatile anaesthetic agents has stimulated increased use of total i.v. anaesthesia.
View Article and Find Full Text PDFAnesthetic approaches and 2-year recurrence rates in non-muscle invasive bladder cancer: a randomized clinical trial.
Reg Anesth Pain Med
December 2024
Department of Urology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea
Background: The effect of anesthesia methods on non-muscle invasive bladder cancer (NMIBC) recurrence post-resection remains uncertain. We aimed to compare the oncological outcomes of spinal anesthesia (SA) and general anesthesia (GA) in patients with NMIBC.
Methods: This prospective randomized controlled trial recruited 287 patients with clinical NMIBC at Seoul National University Hospital from 2018 to 2020.
Anesthetic management using desflurane and nitrous oxide in a child with non-ketotic hyperglycinemia: a case report.
JA Clin Rep
December 2024
Department of Anesthesiology, Niigata University Medical and Dental Hospital, 1-754 Asahimachi-Dori, Chuo-Ku, Niigata, 951-8520, Japan.
Background: Non-ketotic hyperglycinemia (NKH) is a rare autosomal recessive disorder caused by defects in the glycine cleavage system, leading to elevated glycine levels in the central nervous system. NKH manifests in various forms, with the neonatal type being the most severe and often associated with high mortality and significant neurological impairment. This case report highlights the successful uses of desflurane and nitrous oxide for anesthetic management in a patient with NKH.
View Article and Find Full Text PDFEnvironmental impact of volatile anesthetics at a high complexity teaching hospital from 2019 to 2022: A quantitative analysis.
Rev Esp Anestesiol Reanim (Engl Ed)
December 2024
Department of Anesthesiology, Hospital Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Article Synopsis
- The healthcare sector contributes significantly to greenhouse gas emissions, with inhaled anesthetics like desflurane, isoflurane, and sevoflurane being major contributors, particularly in Colombia where data has been lacking.
- A retrospective study conducted in a Bogota hospital evaluated the usage of these anesthetics from 2019 to 2022, revealing 743 kg of total anesthetics used, with desflurane being the most utilized agent.
- Results indicated a shift in usage patterns, with a 70% increase in sevoflurane and a 31% decrease in desflurane, leading to significant reductions in carbon emissions, highlighting sevoflurane's environmental benefits over desflurane in operating
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