Safety, quality & education

A Cultural Shift: Implementing Reusable Anesthesia Circuits in United States (US) Pediatric Anesthesia to Address Supply Chain and Environmental Challenges

Paediatr AnaesthPublished Perspective piece

Authors' conclusion

Our experience demonstrates the feasibility of reusable anesthesia circuit use with appropriate protocols.

Study context

Population
Pediatric anesthesia care, US single institution (pediatric ambulatory surgery setting)
Exposure
Weekly reusable vs Daily reusable vs single-use disposable (SUD)
Outcome
Plastic waste reduction (estimated)
Follow-up
Per week
Methodological detailssingle-institution multi-site experience with survey, anonymous safety concern reporting, No full cost analysis or microbiologic studies performed
  • Single-institution multi-site experience with survey
  • Anonymous safety concern reporting
  • No full cost analysis or microbiologic studies performed

Main finding

As reported in the abstract

Weekly reusable vs SUD: plastic waste reduction per week

27.8 kg

84% reduction

Weekly reusable vs daily reusable: plastic waste reduction

17.5 kg

53% reduction

Observational data: associations, not effects.

Further findings

Challenges to reusable circuit use (reporting and survey data)

Supply chain constraints and water vapor buildup if circuits not properly drained

Safety

Safety of weekly reusable circuit changes (anonymous safety concern reporting) · October 2022 to January 2025

Weekly reusable circuits with individual patient filters a safe alternative to daily changes or SUD circuits

Original publication

A Cultural Shift: Implementing Reusable Anesthesia Circuits in US Pediatric Anesthesia to Address Supply Chain and Environmental Challenges. Paediatr Anaesth. Published 19 December 2025. doi:10.1002/pan.70105

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