Obando Rondón A M, Triana-Schöonewolff C A, Guerra Toro J D, Parada-Márquez J F, Avila Ardila N A, Zuluaga Zuluaga A F
Department of Anesthesiology, Hospital Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Department of Anesthesiology, Hospital Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Rev Esp Anestesiol Reanim (Engl Ed). 2025 Feb;72(2):501659. doi: 10.1016/j.redare.2024.501659. Epub 2024 Dec 19.
The healthcare sector emits 5% of greenhouse gases worldwide, inhaled anaesthetic agents have contributed to this effect for years. Other countries measured and limited their use, leading to positive environmental changes. There is a lack of data on Colombia. This project aims to evaluate the environmental impact of desflurane, isoflurane, and sevoflurane between 2019 and 2022 in a hospital in Bogota.
A retrospective exploration of inhaled anaesthetic agents use was conducted using our hospital's pharmacy inventory between 2019 and 2022. ORACLE software tools were used, along with the amount of anaesthetics dispensed by the pharmacy. The CO equivalent was calculated in kilograms using the global warming potential at 20 and 100 years.
A total of 743 kg of inhaled anaesthetic agents was administered between 2019 and 2022. Sevoflurane accounted for 265.7 kg, Desflurane for 473.9 kg, while isoflurane was used in smaller quantities. There was a change in the trend between 2019/2020 and 2021/2022, with an increase of 69.3 kg in sevoflurane use and a decrease of 86.2 kg in desflurane use. The CO emissions from desflurane decreased from 190.7 to 131.9 t over 20 years and from 711 to 492 t over 100 years.
The use of sevoflurane increased by 70%, whereas that of desflurane decreased by 31%. CO emissions were reduced by 557 t in 20 years and 210 t in 100 years. The environmental impact of sevoflurane is 97% lower than desflurane in our OR's.
医疗保健行业排放的温室气体占全球总量的5%，多年来吸入麻醉剂一直是造成这种影响的因素之一。其他国家对其使用情况进行了测量并加以限制，从而带来了积极的环境变化。哥伦比亚缺乏相关数据。本项目旨在评估2019年至2022年期间波哥大一家医院中地氟烷、异氟烷和七氟烷对环境的影响。
利用我院2019年至2022年的药房库存，对吸入麻醉剂的使用情况进行回顾性研究。使用了ORACLE软件工具以及药房发放的麻醉剂数量。根据20年和100年的全球变暖潜能值，以千克为单位计算二氧化碳当量。
2019年至2022年期间，共使用了743千克吸入麻醉剂。七氟烷为265.7千克，地氟烷为473.9千克，而异氟烷的使用量较少。2019/2020年和2021/2022年之间出现了趋势变化，七氟烷的使用量增加了69.3千克，地氟烷的使用量减少了86.2千克。地氟烷在20年期间的二氧化碳排放量从190.7吨降至131.9吨，在100年期间从711吨降至492吨。
七氟烷的使用量增加了70%，而地氟烷的使用量减少了31%。20年期间二氧化碳排放量减少了557吨，100年期间减少了210吨。在我们的手术室中，七氟烷对环境的影响比地氟烷低97%。
