Evidence map›Paper›PMID 42064478›Full record

ReviewCureus2026

The Green Scalpel: Aligning United Arab Emirates Perioperative Care With the National Net Zero 2050 Mandate.

Noun Gadalla, Amr Fahim

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Noun GadallaTrauma and Orthopedic, Rashid Hospital, Dubai, ARE.
Amr FahimPlastic and Reconstructive Surgery, Rashid Hospital, Dubai, ARE.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Climate change threatens global health, yet the healthcare sector itself is a significant contributor to the problem. Operating rooms (ORs) are the most resource-intensive areas within hospitals, consuming substantial energy, generating considerable waste, and emitting volatile anesthetic gases. While the United Arab Emirates (UAE) has committed to achieving Net Zero by 2050, perioperative sustainability strategies remain absent from national healthcare policy-a critical gap in the country's decarbonization efforts. This literature review synthesizes findings from 37 peer-reviewed publications, institutional sustainability reports, and policy documents to examine operating room environmental impacts, waste management practices, global sustainability interventions, and UAE-specific healthcare initiatives. Sources were analyzed to extract data on waste generation, energy consumption, anesthetic gas emissions, international best practices, and regional sustainability programs. Global evidence shows that operating rooms contribute to healthcare emissions through three main pathways: waste generation, energy consumption, and anesthetic gas emissions. Multidisciplinary Green Teams implementing the 5R circular economy framework (Reduce, Reuse, Recycle, Rethink, Research) have successfully reduced environmental impacts while maintaining clinical safety standards. Effective interventions include comprehensive waste segregation programs, transitioning to reusable medical equipment, investing in energy-efficient technologies, and optimizing anesthetic gas delivery systems. While the UAE has made progress in broader sustainability practices, significant gaps exist in OR-specific data and implementation guidelines. Substantial perioperative emission reductions are achievable through systematic implementation of evidence-based interventions. However, this requires comprehensive audits, targeted policy development, and stakeholder engagement to align the UAE's perioperative care with its Net Zero 2050 commitment.

Indexed as

anesthetic gas emissiongreen surgeryhealthcare waste managementoperating room carbon footprintperioperative sustainabilityuae net zero 2050

Identifiers

PMID42064478
PMCPMC13128042

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.