儿童耳鼻喉外科手术的环境影响:一个频闪分析。

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2025-03-01 DOI:10.1016/j.anorl.2024.11.005
M. Martin , S. Ayraud-Thevenot , X. Dufour , J.-P. Lebreton , J. Guihenneuc , F. Carsuzaa
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引用次数: 0

摘要

导言:温室气体排放的增加加剧了气候变化。医疗保健部门,尤其是手术室,是温室气体的重要排放源。在头颈外科手术中,儿科手术非常常见,但很少有研究评估其生态影响。我们的目的是量化常见儿科头颈部手术(扁桃体切除术、腺样体切除术和经鼓室管置入)的碳足迹。方法:于2022年12月在某三级医院中心进行生态流行病学调查。计算10例小儿头颈部手术(扁桃体切除术、腺样体切除术、经耳廓管置入)的碳足迹,即患者和医护人员运输、废物产生、手术室能耗、一次性和可重复使用医疗器械(MDs)的制造和运输、药物生产、可重复使用医疗器械灭菌产生的二氧化碳(CO2eq)排放量之和。结果:1例小儿头颈部手术的碳足迹为57.86kgCO2eq。一次性MDs是污染最大的项目,为30.82kgCO2eq(53.3%)。患者转运占27.4%,用药占12.6%,可重复使用MDs占2.9%。结论:小儿头颈部手术产生大量的CO2,主要是由于一次性MDs的产生和输送。这些观察结果可以作为与环境可持续和气候适应型卫生系统相一致的生态行动的起点。
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Environmental impact of pediatric ENT surgery: A STROBE analysis

Introduction

Increasing emissions of greenhouse gases contribute to climate change. The healthcare sector, and particularly the operating room, is a significant emitter of greenhouse gases. In head-and-neck surgery, pediatric procedures are very common, but few studies have assessed their ecological impact. Our objective was to quantify the carbon footprint of common pediatric head-and-neck surgeries (tonsillectomy, adenoidectomy, and transtympanic tube placement).

Methods

An eco-epidemiological study was conducted in December 2022 in a tertiary hospital center. The carbon footprint of 10 pediatric head-and-neck surgeries (tonsillectomies, adenoidectomies, transtympanic tube placements) was calculated, as the sum of carbon dioxide (CO2eq) emissions generated by patient and medical staff transport, waste production, energy consumption in operating rooms, manufacturing and transport of disposable and reusable medical devices (MDs), medication production, and sterilization of reusable MDs.

Results

The carbon footprint of 1 pediatric head-and-neck surgery was 57.86 kgCO2eq. Disposable MDs were the most polluting item with 30.82 kgCO2eq (53.3%). Patient transport accounted for 27.4%, medication for 12.6% and reusable MDs for 2.9%.

Conclusions

Pediatric head-and-neck surgeries generate a significant quantity of CO2, mostly due to the production and delivery of disposable MDs. These observations could serve as a starting point for ecological actions consistent with an environmentally sustainable and climate-resilient health system.
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来源期刊
CiteScore
3.70
自引率
28.00%
发文量
97
审稿时长
12 days
期刊介绍: European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site. Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.
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