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Every anaesthetist-intensivist must not forget to be, with the support of scientific societies, a protagonist and promoter of sustainable practices in the operating theatre and intensive care unit.

Every anaesthetist-intensivist must not forget to be, with the support of scientific societies, a protagonist and promoter of sustainable practices in the operating theatre and intensive care unit.

by Valeria Confalonieri | May 5, 2025

Scientific societies play a key role in reducing the environmental impact of current clinical practices. Through courses, seminars and workshops, they educate anaesthetists, surgeons and other healthcare professionals on the importance of adopting sustainable...
Every anaesthetist-intensivist must not forget to be, with the support of scientific societies, a protagonist and promoter of sustainable practices in the operating theatre and intensive care unit.

Don’t use disposable materials unless strictly necessary, and do not neglect proper separate waste collection.

by Valeria Confalonieri | May 5, 2025

Operating theatres generate at least 25 per cent of total hospital waste and about 25 per cent of this waste is related to anaesthetic practices. Proper waste management is therefore essential to reduce environmental impact and contain costs. Materials not...
Every anaesthetist-intensivist must not forget to be, with the support of scientific societies, a protagonist and promoter of sustainable practices in the operating theatre and intensive care unit.

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

by Valeria Confalonieri | May 5, 2025

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,...
Every anaesthetist-intensivist must not forget to be, with the support of scientific societies, a protagonist and promoter of sustainable practices in the operating theatre and intensive care unit.

Don’t use high fresh gas flows; prefer low flows and the minimum effective oxygen concentration.

by Valeria Confalonieri | May 5, 2025

High fresh gas flows unnecessarily increase the consumption of halogenated anesthetic gases, thereby amplifying greenhouse gas emissions with a significant environmental impact. The administration of inhaled agents is now safer thanks to modern systems for monitoring...
Every anaesthetist-intensivist must not forget to be, with the support of scientific societies, a protagonist and promoter of sustainable practices in the operating theatre and intensive care unit.

Don’t use inhaled anesthetic agents with high global warming potential, such as desflurane and nitrous oxide.

by Valeria Confalonieri | May 5, 2025

Desflurane and nitrous oxide can be effectively replaced with equally efficient but less environmentally harmful inhaled anesthetics, or with alternative anesthetic techniques such as total intravenous anesthesia or regional anesthesia. Starting from January 1, 2026,...
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