The financial and environmental impact of purchased anaesthetic agents in an Australian tertiary hospital

Anaesthetic agents have various financial and environmental impacts. Climate change is one of the biggest threats to human health, and anaesthetic gases contribute to global heating by acting as greenhouse gases. The primary aim of this study was to quantify the financial and environmental impacts of anaesthesia maintenance agents used during surgery in an Australian university teaching hospital. The volume of desflurane, sevoflurane, isoflurane and propofol purchased by a university teaching hospital between 2010 and 2020 was analysed and described in terms of financial and environmental impact. Estimated carbon emissions and financial costs of each agent per annum were calculated using the volumes purchased for each agent. A model of ideal anaesthetic agent usage was used to hypothesise the financial and environmental impact of replacing desflurane (the most environmentally damaging and expensive agent) with alternative agents. Using 2019 as an example year at our health service, replacing desflurane with low flow sevoflurane would save greenhouse gas emissions equivalent to driving over 1.4 million kilometres in an average petrol car. Removing desflurane from machines at our institution could save an estimated A$14,630 per annum through reduced machine testing alone. Our findings and calculations indicate that reducing the use of desflurane would have both financial and environmental benefits for healthcare.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:51

Enthalten in:

Anaesthesia and intensive care - 51(2023), 2 vom: 10. März, Seite 141-148

Sprache:

Englisch

Beteiligte Personen:

Davies, Jessica F [VerfasserIn]
Trajceska, Ljubiana [VerfasserIn]
Weinberg, Laurence [VerfasserIn]

Links:

Volltext

Themen:

38LVP0K73A
Anaesthesia
Anaesthetic agents
Anesthetics, Inhalation
CRS35BZ94Q
CYS9AKD70P
Desflurane
Environmental sustainability
General interest anaesthesia
Greenhouse Gases
Health economics
Isoflurane
Journal Article
Methyl Ethers
Perioperative anaesthesia
Pharmacology
Sevoflurane

Anmerkungen:

Date Completed 07.03.2023

Date Revised 07.03.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/0310057X221129291

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM352323698