Professional practice guidelines: Optimization of energy efficiency in controlled environment zones in operating theaters and interventional sectors - 17/10/24

Doi : 10.1016/j.jviscsurg.2024.08.001

El-Mahdi Hafiani ^a, Stéphane Ortu ^b, Denis Lopez ^b, Florence Lallemant ^c,^h, Valérie Dumaine ^d, Pierre Cassier ^e,ⁱ, Karem Slim ^f, Patrick Pessaux ^g,^⁎
with the Collectif d’écoresponsabilité en santé (CERES)
the Association française de chirurgie (AFC)
the Association pour la prévention et l’étude de la contamination (ASPEC)
the Société française d’hygiène hospitalière (SF2H)
the Société française d’anesthésie et de réanimation (SFAR)
the Société française de chirurgie orthopédique et traumatologique (SOFCOT)
^a Department of Anesthesiology and Critical Care Medicine, Tenon University Hospital, DMU DREAM, Sorbonne Université, Paris, France
^b Aspec, 64, rue nationale, 75013 Paris, France
^c Department of Anesthesia and Intensive Care Unit, CHU Lille, 59000 Lille, France
^d Department of Orthopaedics Surgery, Cochin Hospital, Assistance Publique Hôpitaux de Paris, Université Paris-Cité, Paris, France
^e Institute of Infectious Agents, Hospices Civils de Lyon, Lyon, France
^f Department of Digestive Surgery, CHU de Clermont-Ferrand, Clermont-Ferrand, France
^g Service de Chirurgie Viscérale et Digestive, Nouvel Hôpital Civil, Inserm U1110, Strasbourg, France
^h CHU Lille, Pôle des Urgences, 59000 Lille, France
ⁱ CIRI, Centre International de Recherche en Infectiologie, Université de Lyon, Inserm, U1111, Université Claude Bernard Lyon 1, CNRS, UMR5308, ENS de Lyon, Lyon, France

^⁎Corresponding author at: Service de chirurgie viscérale et digestive, Nouvel Hopital Civil, 67091 Strasbourg, France.Service de chirurgie viscérale et digestive, Nouvel Hopital CivilStrasbourg67091France

Summary

Objective

To issue recommendations for reduced energy consumption in controlled environment zones (CEZ) in operating theaters and interventional sectors.

Design

A committee bringing together seven experts from the SFAR, AFC, SF2H, ASPEC and SOFCOT was convened by CERES. A conflict-of-interest statement was developed at the beginning of the process and enforced throughout the elaboration of the reference document. The experts received no financing from any company commercializing a healthcare product (medicine or medical device). The committee was called upon to follow and respect the GRADE® (grading of recommendations assessment, development and evaluation) method to evaluate quality of the factual data on which the recommendations were based.

Methods

We analyzed the relevant literature and formulated the recommendations in accordance with the GRADE® methodology by identifying three different fields. Each question was formulated in accordance with the PICO (patients, intervention, comparison, outcome) format.

Results

The experts’ attempts at synthesis and application of the GRADE® method led to 16 recommendations. In cases where GRADE® method could not be applied, the recommendations were formulated as expert advice.

Conclusion

Once strong agreement among the experts had been reached, we formulated 15 recommendations for decreased energy consumption and reduced environmental impact in the controlled environment zones of operating theaters and interventional sectors.

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Keywords : Recommendation, Sustained development, Operating theater, Environmental impact, Interventional sector, Energy, Controlled environment