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Article Dans Une Revue Anaesthesia Critical Care & Pain Medicine Année : 2021

Moving towards green anaesthesia: are patients’ safety and environmentally friendly practices compatible? A focus on single-use devices

Résumé

OBJECTIVE: Discuss if the use of disposable or reusable medical devices leads to a difference in terms of hospital acquired infection or bacterial contamination. Determine which solution is less expensive and has less environmental impact in terms of carbon footprint, energy and water consumption and amount of waste. METHODS: A narrative review, including a literature review of articles published in English and French from January 2000 to April 2020 were identified from PubMed. RESULTS: We retrieved 81 articles, including 12 randomised controlled trial, 21 literature reviews, 13 descriptive studies, 6 experimental studies, 9 life-cycle studies, 6 cohort studies, 2 meta-analysis, 4 case reports and 8 other studies. It appears that pathogen transmission in the anaesthesia work area is mainly due to the lack of hand hygiene among the anaesthesia team. The benefit of single-use devices on infectious risk is based on weak scientific arguments, while reusable devices have benefits in terms of costs, water consumption, energy consumption, waste, and reducing greenhouse gas emissions. CONCLUSION: Disposable medical devices and attire in the operating theatre do not mitigate the infectious risk to the patients but have a greater environmental, financial and social impact than the reusable ones. This study is the first step towards recommendations for more environmental-friendly practices in the operating theatre.
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hal-03282020 , version 1 (13-07-2021)

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Thibault Reynier, Mathilde Berahou, Pierre Albaladejo, Hélène Beloeil. Moving towards green anaesthesia: are patients’ safety and environmentally friendly practices compatible? A focus on single-use devices. Anaesthesia Critical Care & Pain Medicine, 2021, 40 (4), pp.100907. ⟨10.1016/j.accpm.2021.100907⟩. ⟨hal-03282020⟩
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