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  2. Guidelines for reducing the environmental impact of general anaesthesia

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Guidelines for reducing the environmental impact of general anaesthesia

Published: August 9, 2023

DOI https://doi.org/10.1016/j.accpm.2023.101292

Categories: Sustainability

Language: English

Authors

Jean-Claude Pauchard, El-Madhi Hafiani, Stephanie Pons, Laure Bonnet, Delphine Cabelguenne, Philipe Carenco, Pierre Cassier, Jeremie Garnier, Florence Lallemant, Valerie Sautou, Audrey De Jong, Anais Caillard

Abstract

Objective: To provide guidelines for reducing the environmental impact of general anaesthesia.

Design: A committee of ten experts from SFAR and SF2H and SFPC learned societies was set up. A policy of declaration of competing interests was applied and observed throughout the guideline-writing process. Likewise, it did not benefit from any funding from a company marketing a health product (drug or medical device). The committee followed the GRADE® method (Grading of Recommendations Assessment, Development and Evaluation) to assess the quality of the evidence on which the recommendations were based.

Methods: We aimed to formulate recommendations according to the GRADE1 methodology for three different fields: anaesthesia vapours and gases; intravenous drugs; medical devices and the working environment. Each question was formulated according to the PICO format (Population, Intervention, Comparator, Outcome). The literature review and recommendations were formulated according to the GRADE® methodology.