Safety, quality & education

Cost‐effectiveness of a transition from volatile anaesthesia to total intravenous anaesthesia to reduce carbon footprint: an economic modelling study

AnaesthesiaPublished Economic modelling study

Main finding · Carbon footprint (kg carbon dioxide equivalent)Result — go to the resultIncremental cost-effectiveness ratio £416 per tonne carbon dioxide equivalent

Authors' conclusion

Using our model parameters and the different carbon dioxide emissions and similar cost, transitioning from desflurane anaesthesia to total intravenous anaesthesia is cost-effective.

Study context

Population
Modelled general anaesthetic for a 40-year-old, 78-kg patient
Comparison
Propofol-remifentanil TIVA vs desflurane or sevoflurane
Outcome
Cost per kg carbon dioxide equivalent saved by transition to TIVA, benchmarked against UK emission trading scheme carbon permit price of £41.84 per tonne carbon dioxide equivalent
Methodological detailscost-effectiveness analysis
  • Cost-effectiveness analysis

Main finding

Carbon footprint (kg carbon dioxide equivalent)

Incremental cost-effectiveness ratio

£416 per tonne carbon dioxide equivalent

By group

As reported in the abstract

Further findings

OutcomeSevofluraneDesflurane
Cost per anaesthetic£9.76£18.94
  • Cost per anaesthetic: TIVA with processed EEG £13.03
  • Cost per anaesthetic: TIVA without processed EEG £5.31

Cost per anaesthetic

TIVA (with and without processed EEG) cheaper than desflurane

Original publication

Cost‐effectiveness of a transition from volatile anaesthesia to total intravenous anaesthesia to reduce carbon footprint: an economic modelling study. Anaesthesia. Published 14 January 2026. doi:10.1111/anae.70111

Composed by AI from the published abstract and checked against it. How Briefs are made →

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