Safety, quality & education

The Power of Education to Reduce the Carbon Footprint of Volatile Anesthetics in Clinical Practice

Anesth AnalgPublished Observational study

Authors' conclusion

Educational measures for anesthesiologists about the climate-damaging effects of volatile anesthetics-especially desflurane-can significantly reduce CO 2 e emissions in anesthesia clinics.

Study context

Population
Anesthesiology departments at all 3 clinical Charité campuses, 2015 to 2023
Exposure
Before vs after educational measures on sustainability of volatile anesthetics (from September 2018)
Outcome
CO 2 e emissions of volatile anesthetics (sevoflurane, desflurane, isoflurane)
Methodological detailsbefore-after (pre-post educational intervention), run chart analysis, 3 campuses, External and internal (top-down or bottom-up) educational measures from September 2018
  • Before-after (pre-post educational intervention)
  • Run chart analysis
  • 3 campuses
  • External and internal (top-down or bottom-up) educational measures from September 2018

Main finding

As reported in the abstract

CO 2 e emissions of volatile anesthetics

CO 2 e emissions reduction from baseline epoch (2015-2017) to 2023

90.3%

CO 2 e, baseline (mean 2015-2017)

1470 tons

CO 2 e, 2022

191 tons

CO 2 e, 2023

142 tons

Observational data: associations, not effects.

Further findings

Total cost of anesthetics

Total cost, 2015
€541,102/$594,238
Total cost, 2023
€281,646/$309,303

Original publication

The Power of Education to Reduce the Carbon Footprint of Volatile Anesthetics in Clinical Practice. Anesth Analg. Published 25 February 2025. doi:10.1213/ane.0000000000007375

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