Previous opinion pieces
Most recent entries | Subscribe to this topic
Gatenby PA. Int J Surg. 2011;9(1):72-4. Epub 2010 Oct 8. This study uses data from the costs of care of patients in the REFLUX study and NHS England Carbon Emissions Carbon Footprinting Report to model the carbon emissions associated with medical and surgical treatment of gastro-oesophageal reflux disease. The main outcome measures are modelled financial costs and carbon emissions for medical and surgical treatment pathways. RESULTS: There is a high initial cost (financially and carbon emissions) for surgery, however subsequent year-on-year financial spend and carbon emissions are lower in patients who have had surgical treatment such that the total modelled financial cost of surgery is lower in the 14th year and carbon emissions are lower in the 9th year.
Gilmour D. J Perioper Pract. 2009 Sep;19(9):268
Euliano TY, van Oostrom JH, van der Aa J. J Clin Monit Comput. 1999 Jul;15(5):287-93 The increasing focus on health care costs requires that all physicians evaluate practice behaviors. The primary emphasis in anesthesia has been limiting the use of expensive medications and interventions. Reducing waste is another approach, and volatile anesthetics are an appropriate target in that simple reduction of fresh gas-flow (FGF) rates is effective. A monitor that measures and displays the cost of wasted volatile anesthetic was developed and used to determine if real-time display of the cost would result in decreased FGF rates, which, in turn, would decrease wasted anesthetic.
Sulbaek Andersen MP, Sander SP, Nielsen OJ, Wagner DS, Sanford TJ Jr, Wallington TJ. Br J Anaesth. 2010 Dec;105(6):760-6. Epub 2010 Oct 8 On the basis of the derived 100 yr GWPs, the average climate impact per anaesthetic procedure at the University of Michigan is the same as the emission of ∼22 kg CO2. We estimate that the global emissions of inhalation anaesthetics have a climate impact which is comparable with that from the CO2 emissions from one coal-fired power plant or 1 million passenger cars.
Shine KP. Br J Anaesth. 2010 Dec;105(6):731-3