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Using the Anesthetic Gas Filter CONTRAfluran While on Cardiopulmonary Bypass: Preliminary Study of the Feasibility, Security, and Efficiency.在体外循环期间使用麻醉气体过滤器CONTRAfluran:可行性、安全性和效率的初步研究
J Cardiothorac Vasc Anesth. 2024 Feb;38(2):586-588. doi: 10.1053/j.jvca.2023.11.009. Epub 2023 Nov 7.
2
Target-Controlled Inhalational Anesthesia-Isoflurane Consumption with Adequacy of Anesthesia Monitoring in Conventional and Multimodal Analgesia - A Comparative Study.目标控制吸入麻醉——常规与多模式镇痛中异氟烷消耗量与麻醉监测充分性的比较研究
Anesth Essays Res. 2022 Jan-Mar;16(1):143-148. doi: 10.4103/aer.aer_43_22. Epub 2022 Jul 18.
3
Efficiency of inhaled anaesthetic recapture in clinical practice.临床实践中吸入麻醉药回收的效率
Br J Anaesth. 2022 Oct;129(4):e79-e81. doi: 10.1016/j.bja.2022.04.009. Epub 2022 May 17.
4
Sustainable veterinary anaesthesia: single centre audit of oxygen and inhaled anaesthetic consumption and comparisons to a hypothetical model.可持续兽医麻醉:单中心氧气和吸入麻醉剂消耗情况审计及与假设模型的比较
J Small Anim Pract. 2021 Jun;62(6):420-427. doi: 10.1111/jsap.13316. Epub 2021 May 3.
5
An Anglocentric History of Anaesthetics and Analgesics in the Refinement of Animal Experiments.麻醉剂和镇痛药在动物实验优化中的以英语为中心的历史。
Animals (Basel). 2020 Oct 21;10(10):1933. doi: 10.3390/ani10101933.
6
Environmental sustainability in veterinary anaesthesia.兽医麻醉中的环境可持续性
Vet Anaesth Analg. 2019 Jul;46(4):409-420. doi: 10.1016/j.vaa.2018.12.008. Epub 2019 Feb 8.
7
Total Intravenous Anesthetic Versus Inhaled Anesthetic: Pick Your Poison.全静脉麻醉与吸入麻醉:各有利弊,自行抉择。
Anesth Analg. 2019 Jan;128(1):13-15. doi: 10.1213/ANE.0000000000003898.
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Anesth Analg. 2018 Nov;127(5):1246-1258. doi: 10.1213/ANE.0000000000003668.
9
Anaesthetic gases, climate change, and sustainable practice.麻醉气体、气候变化与可持续实践。
Lancet Planet Health. 2017 Sep;1(6):e216-e217. doi: 10.1016/S2542-5196(17)30040-2. Epub 2017 Jun 16.
10
Health and climate change: policy responses to protect public health.健康与气候变化:保护公众健康的政策应对措施。
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吸入麻醉剂在多学科兽医教学医院的使用:环境审计。

Inhalational anaesthetic agent consumption within a multidisciplinary veterinary teaching hospital: an environmental audit.

机构信息

Anaesthesiology and Pain Therapy Section, Department of Clinical Veterinary Medicine, Vetsuisse Faculty, University of Bern, Bern, Switzerland.

出版信息

Sci Rep. 2024 Aug 2;14(1):17973. doi: 10.1038/s41598-024-68157-5.

DOI:10.1038/s41598-024-68157-5
PMID:39095518
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11297182/
Abstract

Inhalational anaesthetic agents are routinely used in veterinary anaesthesia practices, yet their consumption contributes significantly to greenhouse gas emissions and environmental impact. We conducted a 55-day observational study at a veterinary teaching hospital in Switzerland, monitoring isoflurane and sevoflurane consumption across small, equine and farm animal clinics and analysed the resulting environmental impact. Results revealed that in total, 9.36 L of isoflurane and 1.27 L of sevoflurane were used to anaesthetise 409 animals across 1,489 h. Consumption rates varied among species, with small and farm animals ranging between 8.7 and 13 mL/h, while equine anaesthesia exhibited a higher rate, 41.2 mL/h. Corresponding to 7.36 tonnes of carbon dioxide equivalent in total environmental emissions or between 2.4 and 31.3 kg of carbon dioxide equivalent per hour. Comparison to human anaesthesia settings showed comparable consumption rates to small animals, suggesting shared environmental implications, albeit on a smaller scale. This research highlights the importance of continued evaluation of veterinary anaesthesia practices to balance patient safety with environmental stewardship; potential mitigation strategies are explored and discussed.

摘要

吸入性麻醉剂在兽医麻醉实践中被常规使用,但它们的消耗对温室气体排放和环境影响有重大贡献。我们在瑞士的一家兽医教学医院进行了一项为期 55 天的观察性研究,监测了小型、马科动物和农场动物诊所中异氟烷和七氟烷的消耗情况,并分析了由此产生的环境影响。结果表明,在总共 1489 小时内,为 409 只动物麻醉使用了 9.36 升异氟烷和 1.27 升七氟烷。不同物种的消耗率不同,小型动物和农场动物的范围在 8.7 到 13 毫升/小时之间,而马科动物的麻醉则表现出更高的消耗率,为 41.2 毫升/小时。总环境排放量相当于 7.36 吨二氧化碳当量,或每小时 2.4 至 31.3 千克二氧化碳当量。与人类麻醉环境相比,小型动物的消耗率相当,表明存在共同的环境影响,尽管规模较小。这项研究强调了继续评估兽医麻醉实践的重要性,以平衡患者安全与环境管理;探讨并讨论了潜在的缓解策略。