气候变化领域集成服务门户(CCPortal): European Society of Anaesthesiology and Intensive Care consensus document on sustainability

CCPortal

DOI	10.1097/EJA.0000000000001942
	European Society of Anaesthesiology and Intensive Care consensus document on sustainability
	Gonzalez-Pizarro, Patricio; Brazzi, Luca; Koch, Susanne; Trinks, Alexandra; Muret, Jane; Weiland, Niek Sperna; Jovanovic, Gordana; Cortegiani, Andrea; Fernandes, Tiago David; Kranke, Peter; Malisiova, Anna; McConnell, Paul; Misquita, Lucia; Romero, Carolina S.; Bilotta, Federico; De Robertis, Edoardo; Buhre, Wolfgang
发表日期	2024
ISSN	0265-0215
EISSN	1365-2346
起始页码	41
结束页码	4
卷号	41 期号:4
英文摘要	Climate change is a defining issue for our generation. The carbon footprint of clinical practice accounts for 4.7% of European greenhouse gas emissions, with the European Union ranking as the third largest contributor to the global healthcare industry's carbon footprint, after the United States and China. Recognising the importance of urgent action, the European Society of Anaesthesiology and Intensive Care (ESAIC) adopted the Glasgow Declaration on Environmental Sustainability in June 2023. Building on this initiative, the ESAIC Sustainability Committee now presents a consensus document in perioperative sustainability. Acknowledging wider dimensions of sustainability, beyond the environmental one, the document recognizes healthcare professionals as cornerstones for sustainable care, and puts forward recommendations in four main areas: direct emissions, energy, supply chain and waste management, and psychological and self-care of healthcare professionals. Given the urgent need to cut global carbon emissions, and the scarcity of evidence-based literature on perioperative sustainability, our methodology is based on expert opinion recommendations. A total of 90 recommendations were drafted by 13 sustainability experts in anaesthesia in March 2023, then validated by 36 experts from 24 different countries in a two-step Delphi validation process in May and June 2023. To accommodate different possibilities for action in high- versus middle-income countries, an 80% agreement threshold was set to ease implementation of the recommendations Europe-wide. All recommendations surpassed the 80% agreement threshold in the first Delphi round, and 88 recommendations achieved an agreement >90% in the second round. Recommendations include the use of very low fresh gas flow, choice of anaesthetic drug, energy and water preserving measures, 5R policies including choice of plastics and their disposal, and recommendations to keep a healthy work environment or on the importance of fatigue in clinical practice. Executive summaries of recommendations in areas 1, 2 and 3 are available as cognitive aids that can be made available for quick reference in the operating room.
语种	英语
WOS研究方向	Anesthesiology
WOS类目	Anesthesiology
WOS记录号	WOS:001178731700006
来源期刊	EUROPEAN JOURNAL OF ANAESTHESIOLOGY
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/290019
作者单位	Hospital Universitario La Paz; A.O.U. Citta della Salute e della Scienza di Torino; Free University of Berlin; Humboldt University of Berlin; Charite Universitatsmedizin Berlin; Free University of Berlin; Free University of Berlin; Humboldt University of Berlin; Charite Universitatsmedizin Berlin; Free University of Berlin; Humboldt University of Berlin; Charite Universitatsmedizin Berlin; University of Munich; UNICANCER; Universite PSL; Institut Curie; Universite PSL; University of Amsterdam; University of Novi Sad; University of Palermo; University of Palermo; Policlinico Paolo Giaccone; University of Wurzburg; University of London; University College London; UCL Medical School; University College London Hospitals NHS Foundation Trust; Sapienza University Rome; University of Perugia; Hospital Santa Maria della Misericordia; Utrecht University; Utrecht University Medical Center
推荐引用方式 GB/T 7714	Gonzalez-Pizarro, Patricio,Brazzi, Luca,Koch, Susanne,et al. European Society of Anaesthesiology and Intensive Care consensus document on sustainability[J],2024,41(4).
APA	Gonzalez-Pizarro, Patricio.,Brazzi, Luca.,Koch, Susanne.,Trinks, Alexandra.,Muret, Jane.,...&Buhre, Wolfgang.(2024).European Society of Anaesthesiology and Intensive Care consensus document on sustainability.EUROPEAN JOURNAL OF ANAESTHESIOLOGY,41(4).
MLA	Gonzalez-Pizarro, Patricio,et al."European Society of Anaesthesiology and Intensive Care consensus document on sustainability".EUROPEAN JOURNAL OF ANAESTHESIOLOGY 41.4(2024).