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

We need to talk about Des...

I thought members of the network may be interested in hearing about our work at Raigmore Hospital, where we managed to reduce our carbon emissions

Health Care’s Climate Footprint Report HCWH / ARUP

Health Care’s Climate Footprint: How the Health Sector Contributes to the Global Climate Crisis and Opportunities for Action.

September, 2019

Job advertisement: Fellow in environmentally sustainable anaesthesia 2020-21

Applications are now open for the 2020-21 fellowship in environmentally sustainable anaesthesia (closing date 29 September).

Senior Clinical Auditor, Buckinghamshire Healthcare NHS Trust

We are just starting to try and introduce and rationalise waste recycling into theatres (the trust does not recycle anything!). If anyone els

Doctors call for nonviolent direct action over climate crisis

"More than 1,000 doctors including 40 professors, several eminent public health figures and past presidents of royal colleges are calling for wides

'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

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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

Driver diagrams.... sustainable theatres.... where to start?

Hello all

N20 reduction Dunedin Hospital NZ

Please see attached graph. Back in 2016 we used 308 G sized cylinders in our reticulated/piped/manifold N20 network.

CONTRAfluran gas capture system

Hi All

Sustainable Healthcare Reading List

Hi all, I work in the sustainability team for my Trust and I'm collaborating with our libraries to curate a sustainable healthcare reading list for

GREEN-ICU study seeking volunteers for survey and online interviews

The GREEN-ICU research study is seeking views o

Article on greening the operating theatre

Hey all,

Sustainable Operating Theatre Design

Dear All,

My research team are now recruiting for our project on sustainable operating theatre design.

Green Health Wales Launch: Raising Awareness, Building Will & Transferring Skill

Do you work in the healthcare sector in Wales? Are you concerned about the planetary health emergency?

“Greener Operations” James Lind Alliance Priority Setting Partnership

The James Lind Alliance is a non-profit making initiative, funded by the National Institute for Health Research, which brings patients, carers and

Reusable Surgical Masks

Now, more than ever, is the time we need to introduce reusable surgical masks.

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Emma Evans commented on Driver diagrams.... sustainable theatres.... where to start? in the Sustainable Operating Theatres network

Thu, 7/22/2021 - 10:56pm

Emma Evans commented on Driver diagrams.... sustainable theatres.... where to start? in the Sustainable Operating Theatres network

Thu, 7/22/2021 - 10:54pm

Tom Dolphin commented on CONTRAfluran gas capture system in the Sustainable Operating Theatres network

Thu, 7/22/2021 - 12:21pm

Jason Lie commented on Driver diagrams.... sustainable theatres.... where to start? in the Sustainable Operating Theatres network

Thu, 7/22/2021 - 10:47am

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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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New Environmentally Sustainable Healthcare elearning programme

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