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<p>Anthropogenic climate change is progressing, with global warming now reaching 1.1 °C. At the same time, further environmental crises that jeopardize the conservation of our natural resources can be observed. The effects on health are obvious and we are already witnessing them in Germany.</p><p>The healthcare sector itself contributes to a&#xa0;relevant extent to national greenhouse gas emissions and the field of anesthesiology and intensive care medicine is a&#xa0;particularly resource-intensive area. For this reason, the Professional Association of German Anesthesiologists (BDA) and the German Society of Anesthesiology and Intensive Care Medicine (DGAI) were among the first professional associations and medical societies to publish a&#xa0;position paper entitled “Ecological sustainability in anesthesiology and intensive care medicine” in 2020. This is now available in an updated version from November 2024.</p><p>It contains 33&#xa0;specific recommendations in the following 7 areas: 1)&#xa0;the use of volatile anesthetics and other medications, 2)&#xa0;the use of consumables, 3)&#xa0;waste management, 4)&#xa0;sustainable mobility concepts, 5)&#xa0;energy-saving measures in the operating theater and intensive care unit, 6)&#xa0;research and teaching and 7)&#xa0;strategies to mitigate the impact of environmental changes on healthcare services in our discipline. This paper summarizes the recommendations. It explains the main changes compared to the 2020 version, with a&#xa0;particular focus on the new evidence behind the recommendations. The specific recommendations are intended to help anesthetists to initiate changes in everyday clinical practice, interprofessionally and in cooperation with other disciplines, which affect their own area of work and the entire hospital.</p>

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Das aktualisierte Positionspapier „Ökologische Nachhaltigkeit in der Anästhesiologie und Intensivmedizin“ mit konkreten Handlungsempfehlungen der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin und des Berufsverbandes Deutscher Anästhesistinnen und Anästhesisten – Update 2024

  • 期刊论文

  • 发表日期：

    2025年3月24日

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  • Martin Schuster,
  • Hannah Richter,
  • Sabine Pecher,
  • Thomas Bein,
  • Linda Grüßer,
  • Ana Kowark,
  • Ferdinand Lehmann,
  • Charlotte Samwer,
  • Thorsten Brenner,
  • Mark Coburn

摘要

Anthropogenic climate change is progressing, with global warming now reaching 1.1 °C. At the same time, further environmental crises that jeopardize the conservation of our natural resources can be observed. The effects on health are obvious and we are already witnessing them in Germany.

The healthcare sector itself contributes to a relevant extent to national greenhouse gas emissions and the field of anesthesiology and intensive care medicine is a particularly resource-intensive area. For this reason, the Professional Association of German Anesthesiologists (BDA) and the German Society of Anesthesiology and Intensive Care Medicine (DGAI) were among the first professional associations and medical societies to publish a position paper entitled “Ecological sustainability in anesthesiology and intensive care medicine” in 2020. This is now available in an updated version from November 2024.

It contains 33 specific recommendations in the following 7 areas: 1) the use of volatile anesthetics and other medications, 2) the use of consumables, 3) waste management, 4) sustainable mobility concepts, 5) energy-saving measures in the operating theater and intensive care unit, 6) research and teaching and 7) strategies to mitigate the impact of environmental changes on healthcare services in our discipline. This paper summarizes the recommendations. It explains the main changes compared to the 2020 version, with a particular focus on the new evidence behind the recommendations. The specific recommendations are intended to help anesthetists to initiate changes in everyday clinical practice, interprofessionally and in cooperation with other disciplines, which affect their own area of work and the entire hospital.