Safety, quality & education

Environmental sustainability evidence in critical care medicine: a scoping review

Can J AnaesthPublished Scoping review

Authors' conclusion

In this scoping review, we found a rapidly expanding yet fragmented body of evidence on ICU environmental sustainability.

Study context

Population
Studies on environmental sustainability and carbon footprint of intensive care unit (ICUs), published before October 2024studies included
Participants
99 studies
Outcome
Literature on ICU environmental sustainability: articles by domain and principal findings
Methodological detailssystematic search of four databases
  • Systematic search of four databases

Main finding

As reported in the abstract

Articles meeting eligibility criteria
99
Waste management articles
31
Carbon footprint articles
20
Sustainable medication practices articles
9
Energy delivery/consumption articles
4
Other articles
39
Daily material waste in the ICU, kg per patient per day (range)
4.9 to 15.2
Carbon-footprint studies calculating ICU carbon footprint (life-cycle assessment or material flow analysis)
3
Studies quantifying carbon emission reductions with prospective or theoretical stewardship interventions
11

Original publication

Environmental sustainability evidence in critical care medicine: a scoping review. Can J Anaesth. Published 23 July 2026. doi:10.1007/s12630-026-03142-2

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