{"id":6419,"date":"2023-12-12T14:13:48","date_gmt":"2023-12-12T13:13:48","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/?post_type=raccomandazione-prof&#038;p=6419"},"modified":"2026-05-04T21:49:03","modified_gmt":"2026-05-04T19:49:03","slug":"do-not-abuse-of-periprocedural-and-intraprocedural-medication-and-prefer-their-use-only-when-strictly-indicated-e-g-avoid-inadequate-antibiotic-prophylaxis-and-saline-fluid-intravenous-solution","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/do-not-abuse-of-periprocedural-and-intraprocedural-medication-and-prefer-their-use-only-when-strictly-indicated-e-g-avoid-inadequate-antibiotic-prophylaxis-and-saline-fluid-intravenous-solution\/","title":{"rendered":"Do not abuse of periprocedural and intraprocedural medication and prefer their use only when strictly indicated (e.g. avoid inadequate antibiotic prophylaxis and saline fluid intravenous solution)."},"content":{"rendered":"<p>The environmental burden of medications before endoscopy (bowel preparation and laxatives for colonoscopy, or mucolytic solutions), during (sedatives, antibiotics, or analgesics), and after the procedure has not been formally quantified but it has recently been estimated the 1 g medication has a high CO2 footprint of somewhere between 10 g and 1000 g. The use of medication is recommended only when strictly indicated and supported by guidelines; moderate versus deep sedation versus endotracheal intubation, and selective versus routinary involvement of an anesthesiologist may also influence the carbon footprint. Patients and citizens have to be informed and involved in these decisions.<\/p>\n","protected":false},"featured_media":6327,"template":"","meta":{"_wpv_contains_gutenberg_views":[""],"_layouts_template":["modello-per-raccomandazioni-professionista"],"_wp_page_template":["default"],"_wpml_word_count":["151"],"_edit_lock":["1777924007:2"],"_edit_last":["2"],"_wpml_media_featured":["1"],"_wpml_media_duplicate":["1"],"_wpml_location_migration_done":["1"],"_thumbnail_id":["6327"],"cmplz_hide_cookiebanner":[""],"_yoast_wpseo_primary_eta":["96"],"_yoast_wpseo_primary_disciplina":["102"],"_yoast_wpseo_primary_tipologia":["99"],"wpcf-pacchetto":["AIGO #3"],"wpcf-bibliografia":["1. Enrique Rodr\u00edguez de Santiago E, Dinis-Ribeiro M, Pohl H et al. Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement. Endoscopy 2022;54:797-826.\r\n2. Von Renteln D, Jiang Y, Agrawal D et al. Practical steps to green your endoscopy unit. Reduce! 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