Guidelines for reducing the environmental impact of general anaesthesia - 21/09/23
, El-Madhi Hafiani b, ⁎, 1, 2 , Stéphanie Pons o, Laure Bonnet c, 2, Delphine Cabelguenne d, Philipe Carenco e, f, g, h, i, Pierre Cassier j, k, Jérémie Garnier l, Florence Lallemant m, n, Valérie Sautou p, Audrey De Jong q, r, Anaïs Caillard s, tAbstract |
Objective |
To provide guidelines for reducing the environmental impact of general anaesthesia.
Design |
A committee of ten experts from SFAR and SF2H and SFPC learned societies was set up. A policy of declaration of competing interests was applied and observed throughout the guideline-writing process. Likewise, it did not benefit from any funding from a company marketing a health product (drug or medical device). The committee followed the GRADE® method (Grading of Recommendations Assessment, Development and Evaluation) to assess the quality of the evidence on which the recommendations were based.
Methods |
We aimed to formulate recommendations according to the GRADE® methodology for three different fields: anaesthesia vapours and gases; intravenous drugs; medical devices and the working environment. Each question was formulated according to the PICO format (Population, Intervention, Comparator, Outcome). The literature review and recommendations were formulated according to the GRADE® methodology.
Results |
The experts’ work on the synthesis and application of the GRADE® method led to the formulation of 17 recommendations. Since the GRADE® method could not be entirely applied to all of the questions, some of the recommendations were formulated as expert opinions.
Conclusion |
Based on strong agreement between experts, we produced 17 recommendations designed to guide reducing the environmental impact of general anaesthesia.
Le texte complet de cet article est disponible en PDF.Keywords : Guidelines, Sustainable development, Operating room, Environmental impact, Anaesthetic gas, Intravenous drugs, Waste
Plan
| ☆ | RECOMMENDATIONS FOR PROFESSIONAL PRACTICE of the Société Française d’Anesthésie et Réanimation (SFAR) with the participation of the Société Française d’Hygiène Hospitalière (SF2H), and the Société Française de Pharmacie Clinique (SFPC). |
| ☆☆ | Text validated by the Comité des Référentiels Cliniques (clinical guidelines committee) of the SFAR on 02/06/2022, by the Conseil d’Administration (board of directors) of the SFAR on 29/06/2022, by the Conseil Scientifique (scientific council) of the SF2H on 12/08/2022, and by the Conseil d’Administration (board of directors) of the SFPC on 01/09/2022. |
Vol 42 - N° 5
Article 101291- octobre 2023 Retour au numéro
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