Don’t choose unsustainable anaesthetic techniques, materials/devices or behaviours.

Whenever possible, prefer regional anaesthesia over general anaesthesia. Prescribe and administer only drugs that are truly useful and necessary; prefer oral administration whenever possible. Limit the advance preparation of medications to what is strictly necessary, giving preference to preparation at the time of administration; whenever possible, use prefilled syringes and ensure proper disposal of drugs. Prefer biodegradable or recyclable and more economical products for drug sheets and trays. Use sterile materials only when indicated, avoiding unnecessary use; alcohol-based hand disinfectants are equally effective and more sustainable. Finally, promote responsible waste management, reduce water consumption and turn off lights, computers and ultrasonic machines at the end of the day: simple actions that support peer education and collective efforts to reduce waste.

Sources

1. Eii MN, Walpole S, Aldridge C. Sustainable practice: Prescribing oral over intravenous medications. BMJ 2023;383:e075297. doi: 10.1136/bmj-2023-075297.
2. Sherman JD, Raibley LA 4th, Eckelman MJ. Life Cycle Assessment and Costing Methods for Device Procurement: Comparing Reusable and Single-Use Disposable Laryngoscopes. Anesth Analg. 2018;127:434-443. doi: 10.1213/ANE.0000000000002683.
3. Linee Guida SIAARTI Sicurezza in Anestesia Locoregionale in collaborazione con AICO Italia ed ESRA versione 1 08/08/2024 https://www.iss.it/-/sicurezza- in-anestesia-locoregionale (last accessed March 2025).

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Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.