Arbetssätt för en grönare anestesi

Detta är en Magister-uppsats från

Sammanfattning: Background: The ongoing climate change is something that affects us all. Sweden is one of all UN member states that has signed Agenda 2030, which means that we are committed to actively work with and tackle climate change. The Swedish health care system is accountable for a significant part of greenhouse gas emission and the perioperative environment has been shown to be responsible for a large part of these emissions. Anesthesiological ways to work that may have impact on climate change are therefore of interest to shed light upon. Aim: To critically review current research and give an overview of intraoperative anesthesiological working methods that affects the climate. Method: By using the PEO-model a systematic literature review in the databases PubMed and CINAHL was performed. A first selection was made based on the title and abstract. The articles were then read in full text and judged according to established inclusion and exclusion criterias. The research resulted in 10 articles and the included articles were then quality reviewed according to Caldwell ́s model. Results: The result in this study is based on quantitative articles that were judged to be of medium and high quality. Through optimized waste management, choice of anesthetic drugs and method and education, the perioperative care environment was shown to be able to affect its climate footprint. More than half of the articles showed that there was a lack of knowledge among staff on how to work in a more environmentally friendly way and that more education was requested. Conclusion: This literature review shows that the perioperative care environment, with relatively simple strategies, can reduce the climate impact. Through knowledge, the anesthetic nurse can shed light on and argue for a more sustainable way to work that benefits both human and the environment.

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