Pediatric anesthesia & critical care

Project SPRUCE: Formation of an International Consortium of Pediatric Anesthesia Groups to Reduce Greenhouse Gas Emissions from Inhaled Anesthetics

AnesthesiologyPublished quality improvement

Authors' conclusion

Collaborative action within our consortium supported widespread and significant reductions in harmful greenhouse gas emissions from pediatric anesthesia care through education and socialization, practice constraints, and direct data feedback to clinical teams.

Study context

Population
Pediatric anesthesia care in twelve pediatric anesthesia groups
Participants
12 pediatric anesthesia groups
Outcome
Adoption of practice changes among anesthesia groups
Methodological detailsinternational consortium, change management methods
  • International consortium
  • Change management methods

Main finding

As reported in the abstract

  • The consortium facilitated adoption of practice changes among anesthesia groups, and sustained emissions reductions though shifts in culture

Further findings

Greenhouse gas emissions from inhaled anesthesia

Decrease (range 43-91%)
63%

Incidence of nitrous oxide use · During the study period

Reduction
62.4%

Average volume of nitrous oxide used per case · During the study period

Decrease
83.5%

Excess carbon dioxide equivalent (CO2e) emissions from inhaled anesthetics prevented

Total prevented
14,381 metric tons

Original publication

Project SPRUCE: Formation of an International Consortium of Pediatric Anesthesia Groups to Reduce Greenhouse Gas Emissions from Inhaled Anesthetics. Anesthesiology. Published 3 November 2026. doi:10.1097/aln.0000000000006463

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

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