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Re-defining the 3R's (reduce, refine, and replace) of sustainability to minimize the environmental impact of inhalational anesthetic agents.

作者信息

Özelsel Timur J-P, Sondekoppam Rakesh V, Ip Vivian H Y, Tsui Ban C H

机构信息

Department of Anesthesia and Pain Medicine, University of Alberta, 2-150 Clinical Sciences Building, 8440 112 St NW, Edmonton, AB, T6G 2G3, Canada.

Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.

出版信息

Can J Anaesth. 2019 Mar;66(3):249-254. doi: 10.1007/s12630-018-01279-3. Epub 2018 Dec 17.

DOI:10.1007/s12630-018-01279-3
PMID:30560410
Abstract
摘要

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Re-defining the 3R's (reduce, refine, and replace) of sustainability to minimize the environmental impact of inhalational anesthetic agents.重新定义可持续性的3R原则（减少、优化和替代），以尽量减少吸入性麻醉剂对环境的影响。
Can J Anaesth. 2019 Mar;66(3):249-254. doi: 10.1007/s12630-018-01279-3. Epub 2018 Dec 17.
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Life cycle environmental emissions and health damages from the Canadian healthcare system: An economic-environmental-epidemiological analysis.加拿大医疗体系的生命周期环境排放与健康损害：一项经济-环境-流行病学分析。
PLoS Med. 2018 Jul 31;15(7):e1002623. doi: 10.1371/journal.pmed.1002623. eCollection 2018 Jul.
2
The impact of surgery on global climate: a carbon footprinting study of operating theatres in three health systems.手术对全球气候的影响：三个卫生系统中手术室的碳足迹研究。
Lancet Planet Health. 2017 Dec;1(9):e381-e388. doi: 10.1016/S2542-5196(17)30162-6. Epub 2017 Dec 8.
3
Greenhouse gases: the choice of volatile anesthetic does matter.
丙泊酚或异氟烷麻醉维持与芬太尼-利多卡因-氯胺酮恒速输注联合用于山羊皱胃切开术的比较
Animals (Basel). 2021 Feb 13;11(2):492. doi: 10.3390/ani11020492.
4
Environmentally sustainable perioperative medicine: simple strategies for anesthetic practice.环境可持续的围手术期医学：麻醉实践的简单策略。
Can J Anaesth. 2020 Aug;67(8):1044-1063. doi: 10.1007/s12630-020-01726-0. Epub 2020 Jun 8.
温室气体：挥发性麻醉剂的选择至关重要。
Can J Anaesth. 2018 Feb;65(2):221-222. doi: 10.1007/s12630-017-1006-x. Epub 2017 Nov 8.
4
A closed-circuit anesthesia ventilator facilitates significant reduction in sevoflurane consumption in clinical practice.在临床实践中，闭路麻醉呼吸机有助于显著减少七氟醚的消耗量。
Can J Anaesth. 2015 Dec;62(12):1348-9. doi: 10.1007/s12630-015-0478-9. Epub 2015 Sep 11.
5
Estimate of the global volume of surgery in 2012: an assessment supporting improved health outcomes.2012 年全球手术量估计：支持改善健康结果的评估。
Lancet. 2015 Apr 27;385 Suppl 2:S11. doi: 10.1016/S0140-6736(15)60806-6. Epub 2015 Apr 26.
6
Environmental impacts of surgical procedures: life cycle assessment of hysterectomy in the United States.手术操作的环境影响：美国子宫切除术的生命周期评估
Environ Sci Technol. 2015 Feb 3;49(3):1779-86. doi: 10.1021/es504719g. Epub 2015 Jan 14.
7
The state of UK anaesthesia: a survey of National Health Service activity in 2013.英国麻醉状况：2013 年国民保健服务活动调查。
Br J Anaesth. 2014 Oct;113(4):575-84. doi: 10.1093/bja/aeu292. Epub 2014 Aug 7.
8
Sustainable anesthesia.可持续麻醉
Anesth Analg. 2012 May;114(5):921-3. doi: 10.1213/ANE.0b013e31824fcea6.
9
Life cycle greenhouse gas emissions of anesthetic drugs.麻醉药物的生命周期温室气体排放。
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Climate effect of inhaled anaesthetics.吸入麻醉剂的气候效应。
Br J Anaesth. 2010 Dec;105(6):731-3. doi: 10.1093/bja/aeq313.