Nitrous Oxide Use in Australian Health Care: Strategies to Reduce the Climate Impact.

Autor:	Liu Y; From the Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia., Lee-Archer P; From the Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.; Department of Anaesthesia and Pain Medicine, Queensland Children's Hospital, Brisbane, Queensland, Australia., Sheridan NM; Department of Anaesthesia, Pain and Perioperative Medicine, Western Health, Melbourne, Victoria, Australia., Seglenieks R; Department of Anaesthesia, Pain and Perioperative Medicine, Western Health, Melbourne, Victoria, Australia.; Department of Anaesthesia, Grampians Health, Ballarat, Victoria, Australia.; Department of Critical Care, University of Melbourne, Melbourne, Victoria, Australia., McGain F; Department of Anaesthesia, Pain and Perioperative Medicine, Western Health, Melbourne, Victoria, Australia.; Department of Critical Care, University of Melbourne, Melbourne, Victoria, Australia.; Department of Intensive Care, Western Health, Melbourne, Victoria, Australia., Eley VA; From the Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.; Department of Anaesthesia and Perioperative Medicine, The Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Jazyk:	angličtina
Zdroj:	Anesthesia and analgesia [Anesth Analg] 2023 Oct 01; Vol. 137 (4), pp. 819-829. Date of Electronic Publication: 2023 Jul 20.
DOI:	10.1213/ANE.0000000000006620
Abstrakt:	Nitrous oxide is a useful inhaled analgesic. Due to its high global warming potential and ozone-depleting properties, the nitrous oxide emissions related to health care are being increasingly scrutinized. In this narrative review, we will discuss the clinical uses of nitrous oxide relevant to anesthetists, in addition to its contribution as a greenhouse gas. Using available data from Australia, we will explore potential strategies for reducing the impact of those emissions, which are likely to be applicable in other countries. These include destruction of captured nitrous oxide, minimizing nitrous oxide waste and reducing clinical use. Anesthesia clinicians are well placed to raise awareness with colleagues and consumers regarding the environmental impact of nitrous oxide and to promote cleaner alternatives. Reducing use is likely to be the most promising reduction strategy without large-scale changes to infrastructure and subsequent delay in action. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2023 International Anesthesia Research Society.)
Databáze:	MEDLINE
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