{"id":7553,"date":"2024-04-22T10:50:56","date_gmt":"2024-04-22T08:50:56","guid":{"rendered":"https:\/\/eu.bd.com\/iv-news\/?p=7553"},"modified":"2024-04-25T13:49:59","modified_gmt":"2024-04-25T11:49:59","slug":"earth-day-2024-our-planet-prefers-tiva-anaesthesia-do-you","status":"publish","type":"post","link":"https:\/\/eu.bd.com\/iv-news\/events-training\/earth-day-2024-our-planet-prefers-tiva-anaesthesia-do-you\/","title":{"rendered":"Earth Day 2024: Our planet prefers TIVA anaesthesia\u2014do you?"},"content":{"rendered":"<p>Healthcare&#8217;s climate footprint is equivalent to 4.4% of global net emissions; this means that if the health sector were a country, it&#8217;d be the 5th largest emitter on the planet.<sup>1 <\/sup>We all have a critical role to play in reducing the environmental impact of our clinical practices, without adversely affecting patient outcomes.<\/p>\n<p>For Earth Day on 22nd April, discover how your anaesthesia practices are impacting the planet, and make a conscious choice for a more sustainable future.<\/p>\n<p><strong>More on this topic: <\/strong><a href=\"https:\/\/eu.bd.com\/iv-news\/news-innovation\/3-ways-that-bd-is-fighting-climate-change\/\"><strong>3 ways that BD is fighting climate change<\/strong><\/a><\/p>\n<h2>Inhaled anaesthesia creates a significant ecological burden<\/h2>\n<p>Did you know volatile and gaseous anaesthesia makes up 5% of the United Kingdom\u2019s total greenhouse gas emissions?<sup>2<\/sup><\/p>\n<h3>Inhaled anaesthesia gases contribute to global warming by:<sup>3<\/sup><\/h3>\n<ul>\n<li>Accumulating in the atmosphere<\/li>\n<li>Absorbing radiation<\/li>\n<li>Transmitting it back to Earth<\/li>\n<li>Remaining in the atmosphere for years to centuries<\/li>\n<\/ul>\n<p>Inhaled anaesthesia uses hydrofluorocarbons (sevoflurane and desflurane), chloroflurocarbons (isoflurane) and nitrous oxide (N<sub>2<\/sub>O), all of which are potent greenhouse gases.<sup>4 <\/sup>Specifically, desflurane and N<sub>2<\/sub>O contribute significantly more to overall emissions than others.<sup>2<\/sup><\/p>\n<p>For example, one-hour administration of 6% desflurane has a similar effect on global warming as the carbon dioxide (CO<sub>2<\/sub>) produced from driving 320 kilometres.<sup>4 <\/sup>Due to its high consumption and atmospheric lifetime of 114 years, N<sub>2<\/sub>O is also a major contributor to global warming.<sup>3<\/sup><\/p>\n<p>Moreover, exposure to waste anaesthetic gases (WAGs) poses an occupational risk to caregivers.<sup>3,5 <\/sup>Though the effects of short and chronic exposure are still uncertain, WAG exposure could lead to anything from headache, dizziness and fatigue to oxidative stress and genetic damage.<sup>3,5<\/sup><\/p>\n<p><strong>More on this topic: <a href=\"https:\/\/eu.bd.com\/iv-news\/news-innovation\/bd-emerald-syringes-helping-patients-and-the-planet-one-injection-at-a-time\/\">BD Emerald\u2122 Syringes: Helping patients and the planet, one injection at a time!<\/a><\/strong><\/p>\n<h2>Switching from inhaled to TIVA anaesthesia<\/h2>\n<p>Propofol-based total intravenous anaesthesia (TIVA) emits four orders of magnitude less greenhouse gases than inhaled anaesthesia with desflurane and N<sub>2<\/sub>O.<sup>6 <\/sup>One modelling study found that TIVA anaesthesia with propofol and remifentanil use in paediatrics had a smaller carbon footprint over a typical 60-minute anaesthetic duration than IV induction followed by inhalational maintenance or inhalational induction and maintenance.<sup>7<\/sup><\/p>\n<p>As well, TIVA anaesthesia is not associated with the occupational exposure hazards that come with handling the volatile gases involved in inhaled anaesthesia.<sup>5 <\/sup>Despite having demonstrated clinical equivalence for many procedures, TIVA anaesthesia is used less frequently than inhaled anaesthesia.<sup>2 <\/sup><\/p>\n<p>As shown by a survey from Breth-Petersen et al, only 6 of the 28 anaesthetists who participated used TIVA anaesthesia as their predominant anaesthetic agent.<sup>2 <\/sup><\/p>\n<p>Respondents to the survey made recommendations to shift to more environmentally friendly anaesthesia practices, which included improving the availability of TIVA equiment and building a greater research evidence base on TIVA safety and its impact on patient outcomes.<sup>2<\/sup><\/p>\n<h2>Committed to sustainable healthcare<\/h2>\n<p>The World Health Organisation has deemed climate change the greatest threat to global human health.<sup>8 <\/sup>At BD, we define sustainable healthcare as the continued access to safe, high-quality care for current and future generations. We understand that the health of our planet is linked to the health of our people.<\/p>\n<p>That&#8217;s why, under our \u201cTogether, We Advance\u201d strategy, we&#8217;ve set goals in specific areas where we see the most opportunity for BD to create meaningful, measurable change over the next decade and beyond.<\/p>\n<p><strong>Learn more about how BD is helping reduce healthcare&#8217;s environmental impact as part of our commitment to sustainable healthcare.<\/strong><\/p>\n<div class=\"su-button-center\"><a href=\"https:\/\/lp.bd.com\/202403-BDX24-EMEA_EN-SP-Awareness-ESG-LP_LP-EN-01-MainLP.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#2D89EF;border-color:#246ec0;border-radius:6px\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"color:#FFFFFF;padding:0px 18px;font-size:14px;line-height:28px;border-color:#6cadf4;border-radius:6px;text-shadow:none\"> DISCOVER THE BD COMMITMENT<\/span><\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Healthcare&#8217;s climate footprint is equivalent to 4.4% of global net emissions; this means that if the health sector were a&#8230;<\/p>\n","protected":false},"author":8,"featured_media":7614,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[13],"tags":[],"class_list":["post-7553","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-events-training","speciality-anesthesiology","speciality-vascular-access","contenttype-article","target-doctor","target-hospital-director-manager","target-nursing","target-procurement"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Earth Day 2024: Our planet prefers TIVA anaesthesia\u2014do you? 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