A Network for everyone interested in improving the environmental sustainability of operating theatres.

'Eyefficiency' has successfully undergone 2 rounds of beta-testing!

As reported a year ago, CSH has been awarded another Seeing is Believing Innovation Fund* grant for the second phase of developing with its partner

GASP - Greener Anaesthesia & Sustainability Project

Hi Everybody,

'Environmentally Sustainable Theatres' working group

At the end of August 2018, we successfully established this environmental initiative at North Bristol NHS Trust, which continues to run multiple pr

Climate advocacy networking

Doctors and all health professionals are highly respected.

PVC Recovery case study - Dunedin NZ

May, 2019

PVC recycling scheme

Hello!
I am a Deputy Charge Nurse of a Recovery Unit in Scotland

Reduction and standardization of surgical instruments in pediatric inguinal hernia repair

One way of reducing waste in theatre is to think about the surgical instruments we use (or open and don’t use!).

Journal of Pediatric Urology February 2018 Volume 14, Issue 1, Pages 20–24

February, 2019

A new role for anaesthetists in environmentally sustainable healthcare?

Our article published today! "The contribution of anaesthesia to the environmental impact of healthcare is significant and visible, but amenable to change. We believe that this places anaesthetists in an ideal position to lead educational initiatives on environmental sustainability."

C. L. Shelton, S. C. McBain, F. Mortimer, S. M. White. Anaesthesia.

March, 2019

The impact of surgery on global climate: a carbon footprinting study of operating theatres in three health systems.

This (open access) paper compares the carbon footprint of 3 operating theatres (UK, US and Canada). It is really interesting to see how different institutional practices influence the carbon footprint, once again highlighting the significant reductions achieved by reducing desflurane usage.

Lancet Planet Health

December, 2017

NHS looks to anaesthetists to reduce carbon emissions

In January 2019, NHS England published its Long Term Plan, setting out its commitments for the next

University of Brighton Sustainability Conference - programme, abstracts and registration info

The University of Brighton School of Health Sciences 5th annua

Strategies to Reduce Greenhouse Gas Emissions from Laparoscopic Surgery

A really interesting article looking at the individual contribution of different methods of ‘greening’ strategies in operating theatres.

Am J Public Health. 2018 Apr;108(S2):S158-S164

April, 2018

A prospective clinical, cost and environmental analysis of a clinician-led virtual urology clinic

An example of how surgeons can help reduce carbon emissions outside of theatres too!

Annals of the Royal College of Surgeons of England

January, 2019

Greening the Operating Room™ Checklist

Practice Greenhealth is an American organisation working to promote sustainable, eco-friendly practices in healthcare https://practicegreenhealth.org/initiatives/greening-operating-room.

https://practicegreenhealth.org

February, 2019

Pragmatic Recycling of Paper and Cardboard in the Operating Theatre: An Audit

This study audited the introduction of recycling of paper and cardboard within an operating theatre. All waste within a single operating theatre was collected by a dedicated team for 20 surgical cases.

Journal of perioperative practice

March, 2017

Reducing the Carbon Footprint of the Operating Theatre: A Multicentre Quality Improvement Report

What provision is there for recycling within your operating theatre?

Journal of perioperative practice

June, 2013

Anaesthetic gas - monitoring practice and motivating change

An update to a post i entered 8 months ago.

New to thinking about Sustainability in Operating Theatres? A couple of useful review articles (one short, one long)….

Environmentalism in surgical practice. Weiss, A et al. Current Problems in Surgery. April 2016; 53 (4): 165-205

April, 2016

Happy New Year from the Sustainable Operating Theatres Network!

I would like to introduce myself as the new manager for the Network.

New energy in the Sustainable Operating Theatres network!

CSH is excited to be working with new colleagues from surgery and anaesthetics to develop this Sustainable Operating Theatres network in

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Browse this Networks's Resources in the Resource Library

Journal article summary - The carbon footprint of general anaesthetics: A case study in the UK

The carbon footprint of general anaesthetics: A case study in the UK

Xiaocheng Hu, JM Tom Pierce, Tim Taylor, Karyn Morrissey

Resources, Conservation & Recycling 167 (2021) 105411

April, 2021

Welsh Environmental Anaesthetic Network Project Drawdown resources

In 2019, the Welsh Environmental Anaesthetic Network (WEAN) launched "Project Drawdown" to encourage environmentally conscious anaesthetic practice in 8 hospitals around Wales, achieving an average reduction of 71% in carbon footprint from anaesthetic gases in the first year.

Welsh Environmental Anaesthetic Network

March, 2021

Case study: pioneering early mobilisation in a cardiac intensive care unit

Early mobilisation after open heart surgery reduced ventilation days by a mean of 4 days and reduced cardiac intensive care stay by a mean of 6 days.

Centre for Sustainable Healthcare and University Hospital Southampton NHS Foundation Trust

February, 2021

Case study: Keeping patients awake and safe for cataract surgery

This project, which came about as part of CSH's Green Ward Competition held at Barts Health in 2019, reduced the unnecessary listing of patients for general anaesthetic in cataract surgery, saving time, money and carbon.

Centre for Sustainable Healthcare & Barts Health NHS Trust

February, 2021

Review article: Environmental sustainability in anaesthesia and critical care

British Journal of Anaesthesia, 125 (5): 680e692 (2020)
Forbes McGain, Jane Muret, Cathy Lawson and Jodi D. Sherman

Key points:

British Journal of Anaesthesia

August, 2020

The carbon footprint of waste streams in a UK hospital

This article by CSH's Sustainable Surgery Fellow, Chantelle Rizan, and co-authors, provides greenhouse gas emission factors for the different healthcare waste streams in the UK.

Highlights:

Journal of Cleaner Production

December, 2020

Environmental impact of PPE in the first six months of the COVID-19 pandemic

Article: Environmental impact of Personal Protective Equipment supplied to health and social care services in England in the first six months of the COVID-19 pandemic.

Chantelle Rizan, Malcolm Reed, Mahmood F Bhutta

Journal of the Royal Society of Medicine

December, 2020

ANZCA Webinar: Environmental Sustainability in Anaesthesia

A panel of experts explore environmental sustainability issues in anaesthesia practice and discuss the opportunities for research and innovation, such as collaborating with non-medical researchers, and trainee-led solutions to sustainable practice.

Australian and New Zealand College of Anaesthetists

December, 2020

Green Endoscopy: a call for sustainability in the midst of COVID-19

Lancet Gastroenterology and Hepatology article introducing an overview of key challenges around sustainability in Endoscopy.

November, 2020

Patient information: Your anaesthetic and the environment

Information for patients on the environmental impact of anaesthesia.

"You may choose to use this information to ask your anaesthetist about your particular anaesthetic for your forthcoming procedure."

Royal College of Anaesthetists

October, 2020

CARE Webinar on The Future of Sustainability in Healthcare

Fisher & Paykel Healthcare have kindly made available their CARE Webinar on The Future of Sustainability in Healthcare.

zero-waste theatres

Hi all,

I am a paediatric anaesthetist in Bristol and am keen to do what I can to reduce the environmental impact if healthcare.

Sustainable Operating Theatres network volunteer roles

Sustainable Operating Theatres Network Co-managers wanted!

We're hiring! QI Education Fellow 2021-22

CSH is seeking to appoint a qualified health professional to an Education Fellowship, working on a project to support the inclusion of sustainability in quality improvement education for undergraduate medical students, postgraduate doctors and other health professionals.

SHARE conference - 7 May 2021 online

Sustainable Healthcare Academic Research and Enterprise

The Green Surgery Challenge Launch!

Calling all surgical healthcare professionals!** Would you like to find solutions that transform surgical practice to become less harmful

Scottish Environmental Anaesthesia Group - 1st Newsletter

SEA-G was started a couple of years ago as an informal WhatsApp group of green-minded anaesthetists in Scotland.

Nitrous Oxide and Entonox Manifold Waste Reduction: Free Lunch and Learn online seminar

Do you prescribe nitrous oxide? It's a vital medicine for many specialties within health care.

SHARE conference - 7 May 2021 online

Sustainable Healthcare Academic Research and Enterprise

Upcoming free event - Remote Consultations: What’s their role in Sustainable Healthcare?

Join us & our inspiring speakers to consider the role of remote consultations and care as part of a sustainable healthcare service and whether

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Please can you complete our survey on reducing desflurane/nitrous oxide?

We are keen to get a snapshot of how people are trying to reduce the use of desflurane and nitrous oxide in their workplace.

Sustainability in QI - the time has come!

Health systems are in constant need of improvement - and in some cases total redesign.

Sustainability in Quality Improvement learning resources

Sustainability has been recognised as a domain of quality in healthcare, and building it into quality improvement (QI) is a practical way to drive incremental change towards a more ethical, sustainable health system.

Centre for Sustainable Healthcare

March, 2017

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