Schuster Martin, Richter Hannah, Pecher Sabine, Bein Thomas, Grüßer Linda, Kowark Ana, Lehmann Ferdinand, Samwer Charlotte, Brenner Thorsten, Coburn Mark
Klinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, RKH-Kliniken Landkreis Karlsruhe, Fürst-Stirum-Klinik Bruchsal und Rechbergklinik Bretten, Akademische Lehrkrankenhäuser der Universität Heidelberg, Gutleutstr. 1-14, 76646, Bruchsal, Deutschland.
Klinik für Anästhesie und Intensivmedizin, Diakonie Klinikum Stuttgart, Stuttgart, Deutschland.
Anaesthesiologie. 2025 May;74(5):294-304. doi: 10.1007/s00101-025-01519-4. Epub 2025 Mar 24.
Anthropogenic climate change is progressing, with global warming now reaching 1.1 °C. At the same time, further environmental crises that jeopardize the conservation of our natural resources can be observed. The effects on health are obvious and we are already witnessing them in Germany.The healthcare sector itself contributes to a relevant extent to national greenhouse gas emissions and the field of anesthesiology and intensive care medicine is a particularly resource-intensive area. For this reason, the Professional Association of German Anesthesiologists (BDA) and the German Society of Anesthesiology and Intensive Care Medicine (DGAI) were among the first professional associations and medical societies to publish a position paper entitled "Ecological sustainability in anesthesiology and intensive care medicine" in 2020. This is now available in an updated version from November 2024.It contains 33 specific recommendations in the following 7 areas: 1) the use of volatile anesthetics and other medications, 2) the use of consumables, 3) waste management, 4) sustainable mobility concepts, 5) energy-saving measures in the operating theater and intensive care unit, 6) research and teaching and 7) strategies to mitigate the impact of environmental changes on healthcare services in our discipline. This paper summarizes the recommendations. It explains the main changes compared to the 2020 version, with a particular focus on the new evidence behind the recommendations. The specific recommendations are intended to help anesthetists to initiate changes in everyday clinical practice, interprofessionally and in cooperation with other disciplines, which affect their own area of work and the entire hospital.
人为气候变化正在加剧，全球变暖现已达到1.1摄氏度。与此同时，可以观察到进一步危及我们自然资源保护的环境危机。其对健康的影响显而易见，在德国我们已经见证了这些影响。医疗保健部门本身在很大程度上导致了国家温室气体排放，而麻醉学和重症医学领域是一个资源特别密集的领域。因此，德国麻醉医师专业协会（BDA）和德国麻醉学与重症医学协会（DGAI）是最早在2020年发表题为《麻醉学和重症医学中的生态可持续性》立场文件的专业协会和医学协会之一。该文件现在有2024年11月的更新版本。它在以下7个领域包含33条具体建议：1）挥发性麻醉剂和其他药物的使用，2）消耗品的使用，3）废物管理，4）可持续交通概念，5）手术室和重症监护病房的节能措施，6）研究与教学，以及7）减轻环境变化对本学科医疗服务影响的策略。本文总结了这些建议。它解释了与2020年版本相比的主要变化，特别关注建议背后的新证据。这些具体建议旨在帮助麻醉师在日常临床实践中跨专业并与其他学科合作发起变革，这些变革会影响他们自己的工作领域和整个医院。
