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Cited by 39Climate Change and Health ImpactsEnvironmental Impact and SustainabilityHealthcare Facilities Design and Sustainability

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Neue Herausforderungen für die Anästhesie durch den Klimawandel

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Koch, S., Pecher, S.·2020·Der Anaesthesist
DOI 10.1007/s00101-020-00770-1
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Abstract

Zusammenfassung Hintergrund Die Klimakrise stellt die größte Bedrohung der globalen Gesundheit im 21. Jh. dar. Treibhausgasemissionen westlicher Länder sind zu 5–10 % dem Gesundheitssektor zuzurechnen; hierzu tragen energieintensive Abteilungen (Intensivmedizin, OP-Bereich und Rettungsdienst) maßgeblich bei. Ziel der Arbeit Ziel der Arbeit ist es, Hintergrundwissen und praktische Tipps zum Erreichen eines klimafreundlichen Krankenhauses zu geben. Material und Methoden Narrativer Review mit Hintergrundwissen zu den Themenfeldern: (I) inhalative Anästhetika als Treibhausgase, (II) Energieversorgung im Krankenhaus und (III) Abfallwirtschaft. Ergebnisse und Diskussion (I) Volatile Anästhetika sind hochpotente Treibhausgase; vor allem Desfluran sticht mit einer sehr hohen Global Warming Potenz (GWP) heraus. Einen geringeren Klimaeinfluss haben die totale intravenöse Anästhesie (TIVA) oder Regionalanästhesieverfahren. (II) Krankenhäuser sollten auf erneuerbare Energien umsteigen und gezielte Energiesparmaßnahmen (Leuchtdioden [LED], Bewegungssensoren etc.) implementieren. (III) Ein Abfallmanagement nach dem Konzept „Reduce, reuse, recycle, rethink, research“ kann die Müllproduktion im Krankenhaus reduzieren. Ärzte/Ärztinnen sollten aktiv dazu beitragen, die Klimaziele zu erreichen.

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Research works printed but not linked: 34

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Metadata

Authors
Koch, S., & Pecher, S.
Affiliations
  • Stiftung Charité (DE)
  • Diakonie-Klinikum Stuttgart (DE)
Corresponding author
Koch, S.
ORCID
Koch, S.
Venue
Der Anaesthesist
Publisher
Springer Science and Business Media LLC
Published
2020-04-28
Volume
69
Issue
7
Pages
453-462
ISSN
  • 0003-2417 (ISSN-L)
  • 1432-055X
DOI
10.1007/s00101-020-00770-1
OpenAlex
W3017427061
Cited by
39
References
40
Citations by year
2026: 4 · 2025: 11 · 2024: 9 · 2023: 7 · 2022: 4 · 2021: 2 · 2020: 2
FWCI
0.33
Type
journal article
Language
de
Update notices
erratum (2020-07-03)
Open access
Licence
Locations
  • Der Anaesthesist (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
  • Physical Sciences › Environmental Science › Environmental Engineering › Environmental Impact and Sustainability
  • Physical Sciences › Engineering › Architecture › Healthcare Facilities Design and Sustainability
Keywords
climate change, anesthesia, greenhouse gas emissions, volatile anesthetics, desflurane, global warming potential, total intravenous anesthesia, regional anesthesia, hospital power supply, renewable energy, energy efficiency, medical waste management, reduce, reuse, recycle
MeSH terms
Greenhouse Gases, Anesthesia, Anesthesiology, Carbon Dioxide, Humans, Waste Management, Anesthetics, Inhalation, Climate Change, Global Warming, Renewable Energy

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