Financial and environmental costs of reusable and single-use anaesthetic equipment

British Journal of Anaesthesia
F McGainS McAlister

Abstract

An innovative approach to choosing hospital equipment is to consider the environmental costs in addition to other costs and benefits. We used life cycle assessment to model the environmental and financial costs of different scenarios of replacing reusable anaesthetic equipment with single-use variants. The primary environmental costs were CO 2 emissions (in CO 2 equivalents) and water use (in litres). We compared energy source mixes between Australia, the UK/Europe, and the USA. For an Australian hospital with six operating rooms, the annual financial cost of converting from single-use equipment to reusable anaesthetic equipment would be an AUD$32 033 (£19 220), 46% decrease. In Australia, converting from single-use to reusable equipment would result in an increase of CO 2 emissions from 5095 (95% CI: 4614-5658) to 5575 kg CO 2 eq (95% CI: 5542-5608), a 480 kg CO 2 eq (9%) increase. Using the UK/European power mix, converting from single-use (5575 kg CO 2 eq) to reusable anaesthetic equipment (802 kg CO 2 eq) would result in an 84% reduction (4873 kg CO 2 eq) in CO 2 emissions, whilst in the USA converting to reusables would have led to a 2427 kg CO 2 eq (48%) reduction. In Australia, converting from single-use to reusable equi...Continue Reading

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Citations

May 12, 2020·Journal of Dental Research·B DuaneE Pasdeki-Clewer
Dec 13, 2018·Journal of Anesthesia·Alex RamirezJoseph D Tobias
Dec 20, 2019·Quality Management in Health Care·Zachary ArciagaMadeleine Whalen
Apr 27, 2018·American Journal of Public Health·Cassandra L ThielMelissa M Bilec
Jun 10, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Maria-Alexandra Petre, Stephan Malherbe
Jun 10, 2020·Annals of Surgery·Chantelle RizanMahmood F Bhutta
May 23, 2019·Health Care Management Review·Christin SeifertEdeltraud Guenther

Nov 27, 2020·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·Benedict WeberSelena Knoth
Dec 12, 2020·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Julii BrainardPaul R Hunter
Mar 5, 2021·Anesthesia and Analgesia·Marc R KostrubiakMitchell H Tsai
Apr 7, 2021·American Journal of Clinical Pathology·Ilyssa O GordonCassandra L Thiel
Aug 20, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Daniel GrinbergPierre-Jean Cottinet
Apr 5, 2020·Bulletin du cancer·Sarah GuillonRoman Rouzier
Oct 6, 2021·BMJ : British Medical Journal·Alexandra Barratt, Forbes McGain
Oct 28, 2017·British Journal of Anaesthesia·F McGainS McAlister
Aug 17, 2020·British Journal of Anaesthesia·Forbes McGainJodi D Sherman
Nov 2, 2021·Anaesthesia·S M WhiteUNKNOWN representing the World Federation of Societies of Anaesthesiologists Global Working Group on Environmental Sustainability in
Nov 4, 2021·Anesthesiology·Michel M R F Struys, Matthew J Eckelman

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