ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2023
A call for immediate climate action in anesthesiology: routine use of minimal or metabolic fresh gas flow reduces our ecological footprint.
Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06560268 (Effects of Different Fresh Gas Flows on Emergence Agitation and Anesthetic Agent Consumption in Children Undergoing Strabismus Surgery), which is not on this map. Cited by 15 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Different Fresh Gas Flows on Emergence Agitation and Anesthetic Agent Consumption in Children Undergoing Strabismus Surgery
Who cites it
15 citing papers in PubMed, 32 citations in OpenAlex.
- Intraoperative ventilation settings in Germany: an observational multicentre cross-sectional study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026Article
- Exploring sevoflurane consumption and COJournal of clinical monitoring and computing · 2026Article
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- Clinical Safety and Feasibility of Minimally Invasive Colectomy Under Neuraxial Anesthesia in Frail Patients: Preliminary Case Series.Journal of clinical medicine · 2025Article
- [Systemic barriers prevent competence-based teaching in the field of planetary health : An online survey among students and descriptive analysis of the National Competence-based Catalogue of Learning Objectives for Medicine 2.0].Die Anaesthesiologie · 2025Article
- Effects of breathing circuit insulation on inspired gas conditioning and water vapour condensation: an in vitro study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025Article
- The environmental effects of anesthetic agents and anesthesia practices.Journal of anesthesia and translational medicine · 2024Article
- Anesthesiologists should lead nitrous oxide mitigation efforts.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Article
- Article
- Excessive NCanadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- Improving environmental sustainability of intensive care units: A mini-review.World journal of critical care medicine · 2023Review
- [Anesthesia in obesity surgery: many roads lead to Rome].Die Anaesthesiologie · 2023Article
- Ecological impact of anesthesia: Analysis of sevoflurane consumption as a greenhouse gas.Journal of anaesthesiology, clinical pharmacologyArticle
- Changing patterns of nitrous oxide use and environmental awareness among Brazilian anesthesiologists: a nationwide cross-sectional survey.Brazilian journal of anesthesiology (Elsevier)Article
- Anaesthetic gas emissions in a tertiary hospital in Pakistan: Behavioural drivers versus technological solutions.The journal of climate change and healthArticle
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeClimate change is a global threat, and inhalational anesthetics contribute to global warming by altering the photophysical properties of the atmosphere. On a global perspective, there is a fundamental need to reduce perioperative morbidity and mortality and to provide safe anesthesia. Thus, inhalational anesthetics will remain a significant source of emissions in the foreseeable future. It is, therefore, necessary to develop and implement strategies to minimize the consumption of inhalational anesthetics to reduce the ecological footprint of inhalational anesthesia. SOURCE: We have integrated recent findings concerning climate change, characteristics of established inhalational anesthetics, complex simulative calculations, and clinical expertise to propose a practical and safe strategy to practice ecologically responsible anesthesia using inhalational anesthetics. PRINCIPAL
findingsComparing the global warming potential of inhalational anesthetics, desflurane is about 20 times more potent than sevoflurane and five times more potent than isoflurane. Balanced anesthesia using low or minimal fresh gas flow (≤ 1 L·min
conclusionResponsible anesthetic management choices should prioritize patient safety and consider all available options. If inhalational anesthesia is chosen, the use of minimal or metabolic fresh gas flow reduces the consumption of inhalational anesthetics significantly. Nitrous oxide should be avoided entirely as it contributes to depletion of the ozone layer, and desflurane should only be used in justified exceptional cases.
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