Eco-audit of conventional heart surgery procedures

Autor: Rémi Buzzi, Daniel Grinberg, Rémi Schweizer, Jean-François Obadia, Matteo Pozzi, Bergamotte Thinot, Minh Quyen Le, Pierre-Jean Cottinet, Jean-Fabien Capsal
Přispěvatelé: Hôpital Louis Pradel [CHU - HCL], Hospices Civils de Lyon (HCL), Laboratoire de Génie Electrique et Ferroélectricité (LGEF), Institut National des Sciences Appliquées de Lyon (INSA Lyon), Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université de Lyon, Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA), CarMeN, laboratoire
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: European Journal of Cardio-Thoracic Surgery
European Journal of Cardio-Thoracic Surgery, Oxford University Press (OUP), 2021, pp.ezab320. ⟨10.1093/ejcts/ezab320⟩
ISSN: 1010-7940
1873-734X
DOI: 10.1093/ejcts/ezab320⟩
Popis: Erratum in "Erratum to 'Eco-audit of conventional heart surgery procedures' [Eur J Cardiothorac Surg 2021; doi:10.1093/ejcts/ezab320]. Grinberg D, Buzzi R, Pozzi M, Schweizer R, Capsal JF, Thinot B, Le MQ, Obadia JF, Cottinet PJ. Eur J Cardiothorac Surg. 2021 Oct 5:ezab408. doi: 10.1093/ejcts/ezab408." Online ahead of print. PMID: 34608489 No abstract available.; International audience; OBJECTIVES: Healthcare systems have a significant environmental impact and, thus, indirectly affect public health. In order to improve current practices, a better understanding of the actual environmental impact generated by surgical procedures is necessary. METHODS: An eco-audit methodology was carried out to assess the greenhouse gas emissions arising from conventional isolated cardiac surgery procedures. This inquiry took into account 3 workstations (the surgical, the anaesthesia and the cardiopulmonary bypass workstations). All wastes were analysed including the disposable medical products, pharmaceuticals and energy consumption during such surgeries. RESULTS: Twenty-eight cardiac surgeries were analysed out of a 4-week study period. The mean emissions during a single cardiac surgery was 124.3 kg of carbon dioxide equivalent (CO2-e). Eighty-nine per cent of the total emissions was related to the use of disposable medical products. The environmental impact of pharmaceuticals used at anaesthesia workstations was 12.4 kg of CO2-e (10% of total greenhouse gas emission), with 11.1 kg of CO2-e resulting from the use of halogenated gas. Direct electrical consumption resulted in 4.0 kg of CO2-e per surgery (3% of all emission), including lighting and air conditioning. CONCLUSIONS: Conventional isolated cardiac procedures yield the global warming equivalent of a 1080 km plane ride for a single passenger. The environmental impact of such life-saving interventions, therefore, must be put in perspective alongside pollution induced by 'non-indispensable' human activities. However, numerous initiatives at the local and individual level as well as at a larger systemic and countrywide scale appear to provide accessible pathways to meaningfully reduce greenhouse gas emissions during cardiac surgery.
Databáze: OpenAIRE
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