PDF(Pubmed)
Abstract：
The Earth\'s mean surface temperature is already approximately 1.1°C higher than pre-industrial levels. Exceeding a mean 1.5°C rise by 2050 will make global adaptation to the consequences of climate change less possible. To protect public health, anaesthesia providers need to reduce the contribution their practice makes to global warming. We convened a Working Group of 45 anaesthesia providers with a recognised interest in sustainability, and used a three-stage modified Delphi consensus process to agree on principles of environmentally sustainable anaesthesia that are achievable worldwide. The Working Group agreed on the following three important underlying statements: patient safety should not be compromised by sustainable anaesthetic practices; high-, middle- and low-income countries should support each other appropriately in delivering sustainable healthcare (including anaesthesia); and healthcare systems should be mandated to reduce their contribution to global warming. We set out seven fundamental principles to guide anaesthesia providers in the move to environmentally sustainable practice, including: choice of medications and equipment; minimising waste and overuse of resources; and addressing environmental sustainability in anaesthetists\' education, research, quality improvement and local healthcare leadership activities. These changes are achievable with minimal material resource and financial investment, and should undergo re-evaluation and updates as better evidence is published. This paper discusses each principle individually, and directs readers towards further important references.
摘要：
地球的平均表面温度已经比工业化前的水平高出约1.1°C。到2050年超过1.5°C的平均上升将使全球适应气候变化的后果变得不可能。为了保护公众健康，麻醉提供者需要减少他们的做法对全球变暖的贡献。我们召集了一个由45个麻醉提供者组成的工作组，对可持续性有公认的兴趣，并使用三阶段改进的Delphi共识程序，就全球可实现的环境可持续麻醉原则达成共识。工作组商定了以下三个重要的基本声明:患者安全不应受到可持续麻醉实践的损害;高,中低收入国家应在提供可持续医疗保健（包括麻醉）方面相互支持；应授权医疗保健系统减少其对全球变暖的贡献。我们制定了七个基本原则，以指导麻醉提供者转向环境可持续实践，包括：药物和设备的选择；最大限度地减少浪费和资源的过度使用；以及解决麻醉师教育中的环境可持续性问题，研究,质量改进和当地医疗保健领导活动。这些变化可以用最少的物质资源和财政投资来实现，并应在发布更好的证据时进行重新评估和更新。本文分别讨论了每个原则，并指导读者进一步的重要参考资料。
