Anesthetic drugs & techniques

A nationwide approach to reduction in anaesthetic gas use: the Dutch Approach to decarbonising anaesthesia

Br J AnaesthPublished Descriptive report of a national implementation approach

Study context

Population
Dutch anaesthetic practices
Comparison
Total intravenous anaesthesia (TIVA) vs inhalation anaesthesia, at the national level
Outcome
The Dutch Approach to decarbonising anaesthesia
Methodological detailsnationwide, bottom-up, self-regulatory model, Adoption and implementation monitored and evaluated in an ongoing research project
  • Nationwide
  • Bottom-up, self-regulatory model
  • Adoption and implementation monitored and evaluated in an ongoing research project

Main finding

As reported in the abstract

  • Patient safety studies, a national inventory of anaesthetic drug use and in-depth interviews with anaesthetists combined to develop a national guideline
  • Guideline requires all Dutch anaesthetic practices to adopt a local protocol: 'TIVA when possible, inhalation anaesthesia when necessary'
  • Addresses anaesthetists' two main concerns: patient safety and professional autonomy
  • Integrated within the national quinquennial quality control audits

Original publication

A nationwide approach to reduction in anaesthetic gas use: the Dutch Approach to decarbonising anaesthesia. Br J Anaesth. Published 30 January 2025. doi:10.1016/j.bja.2024.11.049

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