Benjamin Drenger
Hebrew University of Jerusalem, IsraelTitle: International Consensus statement on 'Green Anaesthesia' Sequestration and Neutralization of Inhaled Anesthetics
Abstract
I
would like to emphasize the importance of neutralizing volatile anesthetics
(VA), rather than just eliminating them through the scavenging systems to the
atmosphere, for the sake of humanity and better environmental consciousness.
Millions of gallons of VA are released into the atmosphere each year at a huge
cost, both financially and environmentally. The VA creates a major greenhouse
effect and aggressive depletion of the ozone layer on their release to our
atmosphere with a life span of 2-26 years. The
solution is not in banning the use of specific volatile anesthetic, but in
treating the waste anesthetics before they reach the atmosphere. Practical
implementations will promote action by practionairs, which will be followed by their companions and residents.
1. Avoid leaks in all connections, pipes
and vaporizers. Keep regular maintenance
2. All halogenated gases are greenhouse
gases
3. Filling a vaporizer is the single most polluted action. Please act with care, avoid spillage and use modern filling adaptors
4. Use low flow anesthesia. Up to one
litter per minute. Use close circuits if available
5. Avoid using N2O
6. Consider TIVA or balanced anesthesia
in combination with low dose VA
7. All anesthesia machines should be
equipped with an effective scavenging system.
8. In hospital evacuation
service room,
adopt methods for reprocessing waste inhaled anesthetics
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