J Korean Med Assoc.  2021 Dec;64(12):794-799. 10.5124/jkma.2021.64.12.794.

Global climate change and the role of anesthesiologist

• Kim JH

• KMID: 2523435
• DOI: http://doi.org/10.5124/jkma.2021.64.12.794

Abstract

Background
Environmental issues and health problems related to global climate change are becoming increasingly serious. An effective eco-friendly strategy is required to reduce medical waste and greenhouse gas emissions caused by anesthesia in hospitals.
Current Concepts
Inhalation anesthetics are very strong greenhouse gases in the order of desflurane, isoflurane, nitrous oxide, and sevoflurane. Anesthetics with high global warming potential and long atmospheric lifetimes should be used with caution. Only the minimum required dose of an anesthetic drug with a low persistence bioaccumulation toxicity index is recommended for use. Disposable anesthesia products are known to have a low purchase price and low risk of cross-contamination; however, this may not be the case. By using eco-friendly anesthetic supplies, recycling and reuse, we can avoid wasting money and resources.
Discussion and Conclusion
Greenhouse gas emissions from the use of anesthetics are excluded from United Nations regulations due to their necessity. However, while guaranteeing patient safety, anesthesiologists must fulfill their professional ethical obligations by striving to reduce medical waste and greenhouse gas emissions.

Keyword

Climate change; Medical wastes; Greenhouse gases; Anesthesia; 기후변화; 의료폐기물; 온실가스; 마취