Jones Ronald S, West Eleanor
School of Veterinary Science, University of Liverpool, Neston, UK.
Davies Veterinary Specialists, Manor Farm Business Park, Higham Gobion, Hertfordshire, UK.
Vet Anaesth Analg. 2019 Jul;46(4):409-420. doi: 10.1016/j.vaa.2018.12.008. Epub 2019 Feb 8.
Attention is drawn to the potential of global warming to influence the health and wellbeing of the human race. There is increasing public and governmental pressure on healthcare organisations to mitigate and adapt to the climate changes that are occurring. The science of anaesthetic agents such as nitrous oxide and the halogenated anaesthetic agents such as greenhouse gases and ozone-depleting agents is discussed and quantified. Additional environmental impacts of healthcare systems are explored. The role of noninhalational anaesthetic pharmaceuticals is discussed, including the environmental life-cycle analyses of their manufacture, transport, disposal and use. The significant role of anaesthetists in recycling and waste management, resource use (particularly plastics, water and energy) and engagement in sustainability are discussed. Finally, future directions for sustainability in veterinary anaesthesia are proposed.
Veterinary anaesthetists have a considerable opportunity to drive sustainability within their organisations through modification of their practice, research and education. The principles of sustainability may help veterinary anaesthetists to mitigate and adapt to our environmental crisis. Due to their particular impact as greenhouse gases, anaesthetic agents should be used conservatively with the lowest safe fresh gas flow possible. Technologies for reprocessing anaesthetic agents are described.
提请人们关注全球变暖对人类健康和福祉的潜在影响。医疗保健组织面临着越来越大的公众和政府压力,要求其减轻并适应正在发生的气候变化。本文讨论并量化了一氧化二氮等麻醉剂以及卤化麻醉剂(如温室气体和消耗臭氧层物质)的相关科学。探讨了医疗保健系统的其他环境影响。讨论了非吸入性麻醉药物的作用,包括其生产、运输、处置和使用的环境生命周期分析。讨论了麻醉师在回收利用和废物管理、资源利用(特别是塑料、水和能源)以及参与可持续发展方面的重要作用。最后,提出了兽医麻醉可持续发展的未来方向。
兽医麻醉师有相当大的机会通过改变其实践、研究和教育方式,推动所在组织的可持续发展。可持续发展原则可能有助于兽医麻醉师减轻并适应我们的环境危机。由于麻醉剂作为温室气体具有特殊影响,应尽可能以最低的安全新鲜气体流量谨慎使用。文中描述了麻醉剂再处理技术。