Safety, quality & education

Sustainable Anesthesia: A Scoping Review of Carbon Reduction Strategies

Anesth AnalgPublished Scoping review

Authors' conclusion

Our analysis shows that various strategies, including low-emission techniques, equipment reuse, waste reduction, and telemedicine, can significantly lower anesthesia-related CO2e without compromising patient safety.

Study context

Population
Studies (2010–2025) of interventions to reduce anesthesia-related CO2e in human patientsstudies included
Participants
33 studies
Outcome
Anesthesia-related CO2e reduction
Methodological detailsPRISMA and PRESS guidelines, Mixed Methods Appraisal Tool (MMAT) quality appraisal, two independent reviewers, Embase and MEDLINE searched; 3309 records identified, Five studies rated as low quality, Studies conducted across ten countries
  • PRISMA and PRESS guidelines
  • MMAT quality appraisal
  • Two independent reviewers
  • Embase and MEDLINE searched; 3309 records identified
  • Five studies rated as low quality
  • Studies conducted across ten countries

Main finding

As reported in the abstract

  • CO2e reductions ranging from 50% to over 90%
  • Some interventions achieved absolute savings of several tonnes CO2e per year

Safety

CO2e lowered without compromising patient safety

Original publication

Sustainable Anesthesia: A Scoping Review of Carbon Reduction Strategies. Anesth Analg. Published 20 April 2026. doi:10.1213/ane.0000000000008046

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