气候变化领域集成服务门户(CCPortal): Easy-to-implement educational interventions to bring climate-smart actions to daily anesthesiologic practice: a cross-sectional before and after study

CCPortal

DOI	10.23736/S0375-9393.23.17767-4
	Easy-to-implement educational interventions to bring climate-smart actions to daily anesthesiologic practice: a cross-sectional before and after study
	Doelker, Theresa; Schuler, Julia; Wallqvist, Julia; Rossaint, Rolf; Kowark, Ana; Ziemann, Sebastian; Schneider, Frederick; Baumann, Adrian A.; Conway, Neal; Grober, Linda
发表日期	2024
ISSN	0375-9393
EISSN	1827-1596
起始页码	90
结束页码	3
卷号	90 期号:3
英文摘要	BACKGROUND: Anesthesia contributes significantly to a hospital's carbon footprint. Climate-smart actions have the potential to reduce greenhouse gas emissions. Prerequisites for sustainable behavior of providers are knowledge and awareness. We aimed to assess the change in anesthesiologists' climate-friendly behavior before and after educational interventions in three areas that every anesthesiologist can address in their daily clinical routine: 1) energy use; 2) recycling opportunities; 3) consumption of volatile anesthetics. METHODS: We performed a cross-sectional before-and-after single center sub-study within the multicenter Provider Education and Evaluation Project at the Department of Anesthesiology, RWTH Aachen University hospital from May3 2021 to May 1 2022. Educational interventions consisted of stickers, posters and a presentation on climate-smart actions in anesthesiologists' work routine between the first and the second assessment. For each cross-sectional assessment, all central 28 ORs were observed for one week. During the before-and-after comparison we analyzed: 1) energy wasted in unoccupied ORs because of running computers and turned-on lights at 9 p.m.; 2) feasibility of recycling preoperative anesthesia plastic packaging by determining the difference between calculated weight of unseparated preoperative plastic waste in the first assessment and the weight of actual separated waste in the second assessment; 3) fresh gas flow in balanced anesthesia cases in steady state at 9 a.m., and purchased hypnotics converted to bottles/1000 general anesthesia cases in 2018-2022. RESULTS: We observed a reduction of wasted energy by 44% in unoccupied ORs. Usage of low fresh gas flow settings increased from 55% to 75%. The average of purchased desflurane in 2018-2020 decreased by 72% in 2022. We calculated 10.33 kg of preoperative plastic waste per week but were unable to implement waste separation for infrastructural and logistical reasons. CONCLUSIONS: We found that environment-friendly working behaviors increased after the implementation of educational interventions. The causality between the interventions and the observed improvements remains to be proven.
英文关键词	Climate change; General anesthesia; Ecological and environmental phenomena
语种	英语
WOS研究方向	Anesthesiology ; General & Internal Medicine
WOS类目	Anesthesiology ; Critical Care Medicine
WOS记录号	WOS:001224119400013
来源期刊	MINERVA ANESTESIOLOGICA
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/304805
作者单位	RWTH Aachen University; RWTH Aachen University Hospital; University of Bonn; Technical University of Munich
推荐引用方式 GB/T 7714	Doelker, Theresa,Schuler, Julia,Wallqvist, Julia,et al. Easy-to-implement educational interventions to bring climate-smart actions to daily anesthesiologic practice: a cross-sectional before and after study[J],2024,90(3).
APA	Doelker, Theresa.,Schuler, Julia.,Wallqvist, Julia.,Rossaint, Rolf.,Kowark, Ana.,...&Grober, Linda.(2024).Easy-to-implement educational interventions to bring climate-smart actions to daily anesthesiologic practice: a cross-sectional before and after study.MINERVA ANESTESIOLOGICA,90(3).
MLA	Doelker, Theresa,et al."Easy-to-implement educational interventions to bring climate-smart actions to daily anesthesiologic practice: a cross-sectional before and after study".MINERVA ANESTESIOLOGICA 90.3(2024).