气候变化领域集成服务门户(CCPortal): Climate-smart Actions in the Operating Theatre for Improving Sustainability Practices: A Systematic Review

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DOI	10.1016/j.eururo.2022.01.027
	Climate-smart Actions in the Operating Theatre for Improving Sustainability Practices: A Systematic Review
	Pradere, Benjamin; Mallet, Richard; de La Taille, Alexandre; Bladou, Franck; Prunet, Denis; Beurrier, Sarah; Bardet, Florian; Game, Xavier; Fournier, Georges; Lechevallier, Eric; Meria, Paul; Matillon, Xavier; Polguer, Thomas; Abid, Nadia; De Graeve, Bertrand; Kassab, Diana; Mejean, Arnaud; Misrai, Vincent; Pinar, Ugo
发表日期	2023
ISSN	0302-2838
EISSN	1873-7560
起始页码	331
结束页码	342
卷号	83 期号:4
英文摘要	Context: Surgical activity contributes to global warming though the production of greenhouse gases and consumption of resources. To date, no clinical practice guidelines have been made to promote and implement climate-smart actions. Objective: To perform a systematic review of the available actions that could limit CO2 emission in the operating room (OR) and their potential benefits upon the environment, whilst preserving quality of care. Evidence acquisition: MEDLINE and Cochrane databases were searched from January 1, 1990 to April 2021. We included studies assessing carbon footprint (CF) in the OR and articles detailing actions that limit or reduce CF. Evidence synthesis: Thirty-eight studies met the inclusion criteria. We identified six core climate-smart actions: (1) waste reduction by segregation; (2) waste reduction by recy-cling, reuse, and reprocessing; (3) sterilisation; (4) anaesthesia gas management; and (5) improvement of energy use. Quantitative analysis regarding the CF was not possible due to the lack of homogeneous data. For climate-smart actions, the analysis was limited by discrepancies in study scope and in the methodology of CO2 emission calculation. Improvement of education and awareness was found to have an important impact on waste segregation and reduction. Waste management is the area where health care workers could have the strongest impact, whereas the main field to reduce CF in the OR was found to be energy consumption. Conclusions: This review provides arguments for many climate-smart actions that could be implemented in our daily practice. Improving awareness and education are important to act collectively in a sustainable way. Further studies are mandatory to assess the impact of these climate-smart actions in the OR. Patient summary: We performed a systematic review of the available scientific literature to reference all the climate-smart actions proposed to improve the sustainability of surgical activities. Waste segregation, waste reduction and recycling, reuse and repro-cessing, sterilisation, anaesthesia gas changes, and improvement of energy use in the operating room were found to be the main areas of research. There is still a long way to go to homogenise and improve the quality of our climate-smart actions. (c) 2022 The Author(s). Published by Elsevier B.V. on behalf of European Association of Urology. This is an open access article under the CC BY license (http://creativecommons. org/licenses/by/4.0/).
英文关键词	Sustainability; Environment; Carbon footprint; Operating room; Greenhouse gas; Environmental impact; Surgery
语种	英语
WOS研究方向	Urology & Nephrology
WOS类目	Science Citation Index Expanded (SCI-EXPANDED)
WOS记录号	WOS:000951584700001
来源期刊	EUROPEAN UROLOGY
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/281241
作者单位	Medical University of Vienna; Assistance Publique Hopitaux Paris (APHP); Universite Paris Cite; Hopital Universitaire Hotel-Dieu - APHP; Hopital Universitaire Paul-Brousse - APHP; Universite Paris-Est-Creteil-Val-de-Marne (UPEC); Hopital Universitaire Henri-Mondor - APHP; CHU Bordeaux; Universite de Bordeaux; Assistance Publique Hopitaux Paris (APHP); Universite Paris Cite; Hopital Universitaire Cochin - APHP; Hopital Universitaire Paul-Brousse - APHP; Hopital Universitaire Hotel-Dieu - APHP; CHU Dijon Bourgogne; Universite de Toulouse; Universite Toulouse III - Paul Sabatier; CHU de Toulouse; Universite de Bretagne Occidentale; CHU Brest; Aix-Marseille Universite; Assistance Publique-Hopitaux de Marseille; Assistance Publique Hopitaux Paris (APHP); Universite Paris Cite; Hopital Universitaire Saint-Louis - APHP; Hopital Universitaire Paul-Brousse - APHP; Hopital Universitaire Hotel-Dieu - APHP; CHU Lyon; Assistance Publique Hopitaux Paris (APHP); Universite Paris Cite; Hopital Universitaire Europeen Geor...
推荐引用方式 GB/T 7714	Pradere, Benjamin,Mallet, Richard,de La Taille, Alexandre,et al. Climate-smart Actions in the Operating Theatre for Improving Sustainability Practices: A Systematic Review[J],2023,83(4).
APA	Pradere, Benjamin.,Mallet, Richard.,de La Taille, Alexandre.,Bladou, Franck.,Prunet, Denis.,...&Pinar, Ugo.(2023).Climate-smart Actions in the Operating Theatre for Improving Sustainability Practices: A Systematic Review.EUROPEAN UROLOGY,83(4).
MLA	Pradere, Benjamin,et al."Climate-smart Actions in the Operating Theatre for Improving Sustainability Practices: A Systematic Review".EUROPEAN UROLOGY 83.4(2023).