Respiratory care has some of the biggest problems (inhalers) and many good solutions for sustainable healthcare.

Oxygen waste

Here’s a very short but useful article about oxygen waste from turning the flow all the way up to the top (past 15 l/min) which is commonly done:

Blue, brown and now green

Useful information resource / infographic about different inhalers and the main differences between them - including environmental impact.

Could be helpful in teaching...

 

The Pharmaceutical Journal
June, 2020

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Green Inhaler website

This patient- and clinician-facing website gives guidance on choosing inhalers with lower environmental impact - something which is now included in the BTS asthma guidelines.

Dr Alex Wilkinson
September, 2019

New BTS asthma guidelines encourage use of low-GWP inhalers

Section 8.6 of the new BTS/SIGN Guideline for the management of asthma highlights the environmental impact of metered dose inhalers (pMDI) and recommends that inhalers with low global-warming potential (GWP) should be used when likely to be equally effective.

British Thoracic Society
July, 2019

Asthma UK inhaler videos

Are you confident in teaching patients how to use their inhalers? The first step in improving environmental sustainability of inhaler use is to ensure that people use the correct technique to get the drug to where it is needed. 

Asthma UK
July, 2019

Natural resources footprint for NHS and social care

This is the most recent carbon/natural resources footprint of health and social care in England, based on 2017 data. Of note, the greenhouse gas emissions from metered dose inhalers are estimated at 0.85 Mt CO2e, which is around 3.2% of total emissions for the sector.

Sustainable Development Unit, NHS England & Public Health England
September, 2018

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