Climate Change Data Portal
| DOI | 10.1002/lary.31341 |
| Environmental Impact of a Direct Laryngoscopy: Opportunities for Pollution Mitigation | |
| Filley, Grace I.; Kayastha, Darpan; Hayes, Wesley; Mehra, Saral; Sherman, Jodi D.; Eckelman, Matthew J. | |
| 发表日期 | 2024 |
| ISSN | 0023-852X |
| EISSN | 1531-4995 |
| 英文摘要 | ObjectiveTo quantify the environmental impact of standard direct laryngoscopy surgery and model the environmental benefit of three feasible alternative scenarios that meet safe decontamination reprocessing requirements.Study DesignThis is a life cycle assessment (LCA) modeling study.SettingYale-New Haven Hospital (YNHH), a 1541-bed tertiary medical center in New Haven, Connecticut, USA.MethodsWe performed cradle-to-grave LCA of DLS at Yale New Haven Hospital in 2022, including global warming potential (GWP), water consumption, and fine particulate matter formation. Three alternative scenarios were modeled: disinfecting surgical tools using high-level disinfection rather than steam sterilization, substituting non-sterile for sterile gloves and gowns; and reducing surgical towel and drape sizes by 30%.ResultsChanges in disinfection practices would decrease procedure GWP by 11% in each environmental impact category. Substituting non-sterile gowns and gloves reduced GWP by 15%, with nominal changes to water consumption. Linen size reduction resulted in 28% less procedure-related water consumption. Together, a nearly 30% reduction across all environmental impact categories could be achieved.ConclusionsNot exceeding minimum Center for Disease Control (CDC) decontamination standards for reusable devices and optimizing non-sterile consumable materials could dramatically reduce healthcare-associated emissions without compromising safety, thereby minimizing the negative consequences of hospital operations to environmental and human health. Findings extend to other non-sterile surgical procedures.Level of EvidenceN/A Laryngoscope, 2024 We applied the environmental engineering method of life cycle assessment (the gold standard for modeling emissions of products and processes) to a common non-sterile surgical procedure-direct laryngoscopy. We aimed to estimate environmental impacts and identify simple opportunities for performance improvement. Solutions identified can be generalized to many different types of clean-contaminated surgery which, collectively, could reduce healthcare's contribution to planetary disruption. image |
| 英文关键词 | clinical research; health policy; infection; laryngology; quality improvement |
| 语种 | 英语 |
| WOS研究方向 | Research & Experimental Medicine ; Otorhinolaryngology |
| WOS类目 | Medicine, Research & Experimental ; Otorhinolaryngology |
| WOS记录号 | WOS:001166025600001 |
| 来源期刊 | LARYNGOSCOPE
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| 文献类型 | 期刊论文 |
| 条目标识符 | http://gcip.llas.ac.cn/handle/2XKMVOVA/301957 |
| 作者单位 | Northeastern University; Yale University; Yale University; Yale University; Yale University |
| 推荐引用方式 GB/T 7714 | Filley, Grace I.,Kayastha, Darpan,Hayes, Wesley,et al. Environmental Impact of a Direct Laryngoscopy: Opportunities for Pollution Mitigation[J],2024. |
| APA | Filley, Grace I.,Kayastha, Darpan,Hayes, Wesley,Mehra, Saral,Sherman, Jodi D.,&Eckelman, Matthew J..(2024).Environmental Impact of a Direct Laryngoscopy: Opportunities for Pollution Mitigation.LARYNGOSCOPE. |
| MLA | Filley, Grace I.,et al."Environmental Impact of a Direct Laryngoscopy: Opportunities for Pollution Mitigation".LARYNGOSCOPE (2024). |
| 条目包含的文件 | 条目无相关文件。 | |||||
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