Anesthetic drugs & techniques

Reducing the carbon footprint of general anaesthesia: a comparison of total intravenous anaesthesia vs. a mixed anaesthetic strategy in 47,157 adult patients

AnaesthesiaPublished Retrospective cohort study

Authors' conclusion

The total intravenous anaesthesia strategy significantly reduces the carbon footprint of hypnotic drugs in general anaesthesia in adult patients compared with a mixed strategy.

Study context

Population
Adults receiving GA in two French hospitals, 1 January 2021 to 31 December 2022two hospitals
Participants
25,137 vs 22,020
Exposure
Exclusive TIVA strategy vs mixed TIVA-volatile strategy
  • TIVAn = 25,137
  • Mixedn = 22,020reference
Outcome
Difference in carbon footprint of hypnotic drugs per intervention between the two strategies (pharmacy procurement records converted to carbon dioxide equivalents)
Methodological detailscomparative, two-centre
  • Comparative
  • Two-centre

Main finding

As reported in the abstract

Carbon dioxide equivalent footprint of hypnotic drugs per intervention

Observational data: associations, not effects.

Original publication

Reducing the carbon footprint of general anaesthesia: a comparison of total intravenous anaesthesia vs. a mixed anaesthetic strategy in 47,157 adult patients. Anaesthesia. Published 11 January 2024. doi:10.1111/anae.16221

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