People, planet and profits: the case for greening operating rooms
Open accessAbstract
Over the past 40 years, the health care industry has undergone radical changes in the types of products it uses and its waste disposal practices.[1][1],[2][2] In the 1980s, concerns about the spread of blood-borne diseases prompted a shift from reusable to single-use devices, resulting in increases
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Previous reviews of environmental sustainability of operating theatres have mostly focused on waste management strategies, encouraging reduction, reuse and recycling.
“Previous reviews of the environmental sustainability of operating theatres have mostly focused on waste management strategies, encouraging reduction, reuse and recycling (alongside 'rethinking' and research).(23,24)”
From The Carbon Footprint of Surgical Operations (2020) · cites this paper as [23]
In 2014, desflurane accounted for 80% of the CO2e emission related to inhalational anesthetics.
“In 2014, desflurane accounted for 80% of the CO2e emission related to inhalational anesthetics6.”
From A call for immediate climate action in anesthesiology: routine use of minimal or metabolic fresh gas flow reduces our ecological footprint (2023) · cites this paper as [6]
The Anesthetic gases section estimates total anesthetic-gas emissions for 2005 but gives no breakdown by gas. Searches for desflurane, 2014, and an 80% share found no passage supporting the claimed proportion; the paper was published in 2012. (LLM, conf=0.78)
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Cites
Estimate of the carbon footprint of the US health care sector
Chung, J. W., & Meltzer, D. O. (2009) · JAMA · doi:10.1001/jama.2009.1610 · Cited by 415 · see citing works
NATIONAL HEALTH EXPENDITURE TRENDS, 2000 TO 2019
Vn, L., Zaiarskyi, M. I., Vudvud, V., & Kovalevych, D. (2022) · Wiadomości Lekarskie · doi:10.36740/wlek202205116 · Cited by 386 · see citing works
Acid rain and its ecological consequences.
Singh, A., & Agrawal, M. (2008) · PubMed · Cited by 327 · see citing works
A Review of Single-Use and Reusable Gowns and Drapes in Health Care
Rutala, W. A., & Weber, D. J. (2001) · Infection Control and Hospital Epidemiology · doi:10.1086/501895 · Cited by 177 · see citing works
Conrardy, J. A., Hillanbrand, M., Myers, S., & Nussbaum, G. F. (2010) · AORN Journal · doi:10.1016/j.aorn.2009.12.029 · Cited by 166 · see citing works
Langbein, T., Sonntag, H., Trapp, D., Hoffmann, A., Malms, W., Röth, E. P., Mörs, V, & Zellner, R. (1999) · British Journal of Anaesthesia · doi:10.1093/bja/82.1.66 · Cited by 153 · see citing works
Surgical waste audit of 5 total knee arthroplasties
Stall, N. M., Kagoma, Y. K., Bondy, J. N., & Naudie, D. (2013) · Canadian Journal of Surgery · doi:10.1503/cjs.015711 · Cited by 118 · see citing works
Self-citationHutchins, D. C. J., & White, S. (2009) · BMJ · doi:10.1136/bmj.b609 · Cited by 107 · see citing works
Can efficient supply management in the operating room save millions?
Park, K. W., & Dickerson, C. (2009) · Current Opinion in Anaesthesiology · doi:10.1097/aco.0b013e32832798ef · Cited by 102 · see citing works
A Quantitative, Qualitative, and Critical Assessment of Surgical Waste
Tieszen, M. E. (1992) · JAMA · doi:10.1001/jama.1992.03480200073027 · Cited by 85 · see citing works
Commentary: a call to go green in health care by reprocessing medical equipment
Kwakye, G., Pronovost, P. J., & Makary, M. A. (2010) · Academic Medicine · doi:10.1097/acm.0b013e3181cd5a71 · Cited by 80 · see citing works
Environmental impacts of atmospheric nitrous oxide
Badr, O., & Probert, S. D. (1993) · Applied Energy · doi:10.1016/0306-2619(93)90018-k · Cited by 79 · see citing works
Colonel, & Higgins, M. J. (2013) · Cited by 70 · see citing works
Reduce–Recycle–Reuse: Guidelines for Promoting Perioperative Waste Management
Laustsen, G. (2007) · AORN Journal · doi:10.1016/s0001-2092(07)60146-x · Cited by 68 · see citing works
Tieszen, M., & Gruenberg, J. C. (1992) · PubMed · Cited by 67 · see citing works
Physical and Chemical Composition of Hospital Waste
Li, C.-S., & Jenq, F. (1993) · Infection Control and Hospital Epidemiology · doi:10.1086/646700 · Cited by 63 · see citing works
Niki, Y. (2007) · Nihon Naika Gakkai Zasshi · doi:10.2169/naika.96.1754 · Cited by 52 · see citing works
Silica zeolite scavenging of exhaled isoflurane: A preliminary report
Doyle, D. J., Byrick, R. J., Filipovic, D., & Cashin, F. (2002) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/bf03017411 · Cited by 48 · see citing works
Physical and Chemical Composition of Hospital Waste
Li, C.-S., & Jenq, F. (1993) · Infection Control and Hospital Epidemiology · doi:10.2307/30148478 · Cited by 44 · see citing works
Short, H. (2005) · PubMed · Cited by 43 · see citing works
Medical waste in the environment: do anesthesia personnel have a role to play?
Goldberg, M. E., Vekeman, D., Torjman, M. C., Seltzer, J. L., & Kynes, T. (1996) · Journal of Clinical Anesthesia · doi:10.1016/0952-8180(96)00127-4 · Cited by 42 · see citing works
Environmental Accountability in Perioperative Settings
Melamed, A. (2003) · AORN Journal · doi:10.1016/s0001-2092(06)60978-2 · Cited by 39 · see citing works
Psychological Explanations and Interventions for Indifference to Greening Hospitals
Topf, M. (2005) · Health Care Management Review · doi:10.1097/00004010-200501000-00002 · Cited by 39 · see citing works
Assessment of the economic impact of an overage reduction program in the operating room
Rosenblatt, W. H., Chavez, A., Tenney, D., & Silverman, D. G. (1997) · Journal of Clinical Anesthesia · doi:10.1016/s0952-8180(97)00104-9 · Cited by 34 · see citing works
Polisena, J., Hailey, D. M., Moulton, K., Noorani, H. Z., Jacobs, P., Ries, N. M., McGill, S., & Gardam, M. A. (2008) · Infection Control and Hospital Epidemiology · doi:10.1086/587648 · Cited by 33 · see citing works
Rosenblatt, W. H., & Silverman, D. G. (1994) · Journal of Clinical Anesthesia · doi:10.1016/s0952-8180(05)80010-8 · Cited by 30 · see citing works
Reprocessing SUDs reduces waste, costs.
DiConsiglio, J. (2008) · PubMed · Cited by 28 · see citing works
Janchen, Brückner, & Stach (1998) · European Journal of Anaesthesiology · doi:10.1046/j.1365-2346.1998.00299.x · Cited by 21 · see citing works
Alternative Waste Management Strategies
Nussbaum, G. F. (2008) · Perioperative Nursing Clinics · doi:10.1016/j.cpen.2007.11.009 · Cited by 18 · see citing works
The Ecological Footprint of Lions Gate Hospital
Germain, S. (2001) · Healthcare Quarterly · doi:10.12927/hcq..16685 · Cited by 11 · see citing works
Tieszen, M. E., & Gruenberg, J. C. (1996) · Journal of Clinical Anesthesia · doi:10.1016/0952-8180(96)80521-6 · Cited by 10 · see citing works
Tieszen, M. E. (1992) · JAMA · doi:10.1001/jama.267.20.2765 · Cited by 9 · see citing works
Cachefo-Pereira, A., & Neto, E. P. D. S. (2023) · Brazilian Journal of Anesthesiology (English Edition) · doi:10.1016/j.bjane.2023.09.003 · Cited by 8 · see citing works
Path to Green: Practice Improvement in the OR
Parham, J. C. (2011) · AORN Journal · doi:10.1016/j.aorn.2011.01.011 · Cited by 5 · see citing works
Britons Question Global Warming More Than Americans and Canadians
Unidentified (2011) · Cited by 5 · see citing works
Ariyan, S., & Wh, R. (1994) · PubMed · Cited by 5 · see citing works
Going green in the OR brings financial, environmental gains.
Saver, C. (2011) · PubMed · Cited by 5 · see citing works
OR and materials: the yin and yang.
Souhrada, L. (1999) · PubMed · Cited by 5 · see citing works
Green initiatives in hospitals in Ontario: Is there a business case?
Ueckermann, J. (2011) · Cited by 3 · see citing works
LED Surgical Task Lighting Scoping Study: A Hospital Energy Alliance Project
USDOE, & Tuenge, J. (2011) · doi:10.2172/1004017 · Cited by 2 · see citing works
Hand hygiene compliance means using the right products correctly.
Eash, B. A. (2008) · PubMed · Cited by 2 · see citing works
Safe options for suction canister waste.
Mathias, J. M. (2004) · PubMed · Cited by 2 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- [23]23. Shaner H, McRae G. Invisible costs/visible savings: innovations in waste management for hospitals. Surgical Services Management 1996;2:17-21.
- [25]25. Barlow RD. Proper liquid waste disposal mines solid gold bot- tom line. Healthcare Purchas News 2004;28:60-4.
- [48]48. Dioxins and Furans Incineration Canada-wide Standards Review Group. Review of dioxins and furans from incineration in sup- Analysis port of a Canada-wide standard review. Winnipeg (MB): Cana- dian Council of Ministers of the Environment; 2007.
- [58]58. Park KW, Dickerson C. Can efficient supply management in the operating room save millions? Curr Opin Anaesthesiol 2009; 22: 242-8.
Cited by
Sorted by citations
Thiel, C. L., Eckelman, M., Guido, R., Huddleston, M., Landis, A. E., Sherman, J., Shrake, S. O., Copley-Woods, N., & Bilec, M. M. (2015) · Environmental Science & Technology · doi:10.1021/es504719g · Cited by 416 · see citing works
The Carbon Footprint of Surgical Operations
Rizan, C., Steinbach, I., Nicholson, R., Lillywhite, R., Reed, M., & Bhutta, M. F. (2020) · Annals of Surgery · doi:10.1097/sla.0000000000003951 · Cited by 400 · see citing works
Operating room greening initiatives—The old, the new, and the way forward: A narrative review
Wyssusek, K. H., Keys, M. T., & van Zundert, A. A. J. (2019) · Waste Management & Research: The Journal for a Sustainable Circular Economy · doi:10.1177/0734242x18793937 · Cited by 217 · see citing works
Surgical waste audit of 5 total knee arthroplasties
Stall, N. M., Kagoma, Y. K., Bondy, J. N., & Naudie, D. (2013) · Canadian Journal of Surgery · doi:10.1503/cjs.015711 · Cited by 118 · see citing works
Self-citationLean six sigma and environmental sustainability: a hospital perspective
Zhu, Q., Johnson, S. A., & Sarkis, J. (2018) · Supply Chain Forum an International Journal · doi:10.1080/16258312.2018.1426339 · Cited by 113 · see citing works
Pradère, B., Mallet, R., TAILLE, A. D. L., Bladou, F., Prunet, D., Beurrier, S., Bardet, F., Gamé, X., Fournier, G., Lechevallier, É., et al. (2022) · European Urology · doi:10.1016/j.eururo.2022.01.027 · Cited by 107 · see citing works
The environmental impact of surgery: A systematic review
Shoham, M., Baker, N. M., Peterson, M. E., & Fox, P. M. (2022) · Surgery · doi:10.1016/j.surg.2022.04.010 · Cited by 107 · see citing works
Chen, S. P., Woreta, F. A., & Chang, D. F. (2025) · JAMA · doi:10.1001/jama.2025.1597 · Cited by 90 · see citing works
Strategies and tactics to reduce the impact of healthcare on climate change: systematic review
Braithwaite, J., Smith, C. L., Leask, E., Wijekulasuriya, S., Brooke-Cowden, K., Fisher, G., Patel, R., Pagano, L., Rahimi‐Ardabili, H., Spanos, S., et al. (2024) · BMJ · doi:10.1136/bmj-2024-081284 · Cited by 89 · see citing works
Breakthrough analysis of continuous fixed-bed adsorption of sevoflurane using activated carbons
Ang, T. N., Young, B. R., Taylor, M., Burrell, R., Aroua, M. K., & Baroutian, S. (2019) · Chemosphere · doi:10.1016/j.chemosphere.2019.124839 · Cited by 86 · see citing works
Sullivan, G. A., Petit, H. J., Reiter, A. J., Westrick, J. C., Hu, A., Dunn, J. B., Gulack, B. C., Shah, A. N., Dsida, R. M., & Raval, M. V. (2022) · Journal of the American College of Surgeons · doi:10.1097/xcs.0000000000000478 · Cited by 84 · see citing works
Sustainability Initiatives in the Operating Room
Wu, S., & Cerceo, E. A. (2021) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/j.jcjq.2021.06.010 · Cited by 79 · see citing works
Rowan, N. J. (2024) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2024.171672 · Cited by 76 · see citing works
Ard, J. L., Tobin, K., Huncke, T. K., Kline, R., Ryan, S. M., & Bell, C. (2016) · A & A Case Reports · doi:10.1213/xaa.0000000000000184 · Cited by 73 · see citing works
Environmental sustainability in orthopaedic surgery
Phoon, K. M., Afzal, I., Sochart, D. H., Asopa, V., Gikas, P. D., & Kader, D. F. (2022) · Bone & Joint Open · doi:10.1302/2633-1462.38.bjo-2022-0067.r1 · Cited by 68 · see citing works
Environmental effects of surgical procedures and strategies for sustainable surgery
Cunha, M. F., & Pellino, G. (2022) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/s41575-022-00716-5 · Cited by 67 · see citing works
Bolten, A., Kringos, D. S., Spijkerman, I. J. B., & Weiland, N. H. S. (2022) · Journal of Hospital Infection · doi:10.1016/j.jhin.2022.07.011 · Cited by 62 · see citing works
Friedericy, H. J., van Egmond, C. W., Vogtlander, J. G., van der Eijk, A. C., & Jansen, F. W. (2021) · Sustainability · doi:10.3390/su14010430 · Cited by 61 · see citing works
The anesthesiologist and global climate change: an ethical obligation to act
Norman, G. A. V., & Jackson, S. (2020) · Current Opinion in Anaesthesiology · doi:10.1097/aco.0000000000000887 · Cited by 60 · see citing works
Environmentalism in surgical practice
Weiss, A., Hollandsworth, H. M., Alseidi, A. A., Scovel, L. G., French, C., Derrick, E. L., & Klaristenfeld, D. D. (2016) · Current Problems in Surgery · doi:10.1067/j.cpsurg.2016.02.001 · Cited by 60 · see citing works
Use of personal protective equipment in nursing practice
Brown, L., Munro, J., & Rogers, S. (2019) · Nursing Standard · doi:10.7748/ns.2019.e11260 · Cited by 60 · see citing works
Environmental sustainability in neurointerventional procedures: a waste audit
Shum, P. L., Kok, H. K., Maingard, J. T., Schembri, M., Bañez, R. M. F., Damme, V. V., Barras, C. D., Slater, L., Chong, W., Chandra, R. V., et al. (2020) · Journal of NeuroInterventional Surgery · doi:10.1136/neurintsurg-2020-016380 · Cited by 53 · see citing works
Sustainability in interventional radiology: are we doing enough to save the environment?
Shum, P. L., Kok, H. K., Maingard, J. T., Zhou, K. Z., Damme, V. V., Barras, C. D., Slater, L., Chong, W., Chandra, R. V., Jhamb, A., et al. (2022) · CVIR Endovascular · doi:10.1186/s42155-022-00336-9 · Cited by 53 · see citing works
Environmentally sustainable perioperative medicine: simple strategies for anesthetic practice
Petre, M.-A., & Malherbe, S. (2020) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/s12630-020-01726-0 · Cited by 53 · see citing works
Design Opportunities to Reduce Waste in Operating Rooms
Harding, C., Loon, J. V., Moons, I., Win, G. D., & Bois, E. D. (2021) · Sustainability · doi:10.3390/su13042207 · Cited by 53 · see citing works
Eco-audit of conventional heart surgery procedures
Grinberg, D., Buzzi, R., Pozzi, M., Schweizer, R., Capsal, J., Thinot, B., Le, M., Obadia, J., & Cottinet, P. (2021) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezab320 · Cited by 53 · see citing works
Environmental sustainability in veterinary anaesthesia
JONES, R. S., & West, E. (2019) · Veterinary Anaesthesia and Analgesia · doi:10.1016/j.vaa.2018.12.008 · Cited by 51 · see citing works
Mhlaba, J. M., Stockert, E. W., Coronel, M., & Langerman, A. J. (2015) · Journal of Hospital Administration · doi:10.5430/jha.v4n6p82 · Cited by 49 · see citing works
de SA, D. L., Stephens, K., Kuang, M., Simunovic, N., Karlsson, J., & Ayeni, O. R. (2016) · Journal of Hip Preservation Surgery · doi:10.1093/jhps/hnv085 · Cited by 48 · see citing works
Segregation for reduction of regulated medical waste in the operating room: a case report
Shinn, H. K., Hwang, Y., Kim, B.-G., Yang, C. W., Na, W., Song, J. H., & Lim, H. K. (2017) · Korean Journal of Anesthesiology · doi:10.4097/kjae.2017.70.1.100 · Cited by 48 · see citing works
Initiatives to broaden safety concerns in anaesthetic practice: The green operating room
Beloeil, H., & Albaladejo, P. (2020) · Best practice & research. Clinical anaesthesiology · doi:10.1016/j.bpa.2020.07.010 · Cited by 48 · see citing works
Environmentally Responsible Hand Surgery: Past, Present, and Future
Bravo, D., Gaston, R. G., & Melamed, E. (2020) · The Journal Of Hand Surgery · doi:10.1016/j.jhsa.2019.10.031 · Cited by 43 · see citing works
Qin, R. X., Velin, L., Yates, E. F., Omrani, O. E., McLeod, E. J., Tudravu, J., Samad, L., Woodward, A. J., & McClain, C. D. (2022) · The Lancet Regional Health - Western Pacific · doi:10.1016/j.lanwpc.2022.100407 · Cited by 43 · see citing works
Petre, M.-A., Bahrey, L., Levine, M., van Rensburg, A., Crawford, M., & Matava, C. T. (2020) · Canadian Journal of Anesthesia/Journal canadien d'anesthésie · doi:10.1007/s12630-020-01738-w · Cited by 42 · see citing works
Environmental Sustainability in Orthopaedic Surgery
Engler, I. D., Curley, A. J., Fu, F. H., & Bilec, M. M. (2022) · Journal of the American Academy of Orthopaedic Surgeons · doi:10.5435/jaaos-d-21-01254 · Cited by 42 · see citing works
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Sumner, C., Ikuta, I., Garg, T., Martin, J. G., Mansoori, B., Chalian, M., Englander, B. S., Chertoff, J. D., Woolen, S. A., Caplin, D. M., et al. (2022) · Academic Radiology · doi:10.1016/j.acra.2022.08.013 · Cited by 40 · see citing works
The Intercollegiate Green Theatre Checklist
Robb, H., & Pegna, V. (2023) · Bulletin of The Royal College of Surgeons of England · doi:10.1308/rcsbull.2023.25 · Cited by 40 · see citing works
Rübsam, M.-L., Kruse, P., Dietzler, Y., Kropf, M., Bette, B., Zarbock, A., Kim, S.-C., & Hönemann, C. (2023) · Canadian Journal of Anesthesia/Journal canadien d'anesthésie · doi:10.1007/s12630-022-02393-z · Cited by 39 · see citing works
“In fact, they impede heat release back into space not only within but also outside the atmospheric window.(6) The extent of this detrimental effect largely depends on molecular weight, specific type of halogen, and its atmospheric lifetime (Table 1).”
BackgroundWhat a Waste! The Impact of Unused Surgical Supplies in Hand Surgery and How We Can Improve
Bravo, D., Thiel, C. L., Bello, R. A., Moses, A. R., Paksima, N., & Melamed, E. (2022) · Hand · doi:10.1177/15589447221084011 · Cited by 39 · see citing works
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Wong, Y. L., Noor, M., James, K. L., & Aslam, T. M. (2021) · Ophthalmology and Therapy · doi:10.1007/s40123-021-00404-8 · Cited by 39 · see citing works
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Vacharathit, V., Walsh, R. M., Utech, J., & Asfaw, S. H. (2022) · Journal of Surgical Education · doi:10.1016/j.jsurg.2021.09.002 · Cited by 38 · see citing works
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Delaie, C., Cerlier, A., Argenson, J., Escudier, J.-C., Khakha, R. S., Flécher, X., Jacquet, C., & Ollivier, M. P. (2023) · Arthroplasty Today · doi:10.1016/j.artd.2023.101187 · Cited by 30 · see citing works
Pillay, L., Winkel, K. D., & Kariotis, T. C. (2024) · The Medical Journal of Australia · doi:10.5694/mja2.52394 · Cited by 30 · see citing works
Environmental responsibility in hospital care: Findings from a qualitative study
Kallio, H., Pietilä, A., Johnson, M., & Kangasniemi, M. K. (2018) · Journal of Hospital Administration · doi:10.5430/jha.v7n5p56 · Cited by 27 · see citing works
Environmental Sustainability in the Cardiac Catheter Laboratory
Szirt, R., Monjur, M. R., McGovern, L., Charlesworth, K., O’Connor, S. A., Weaver, J. C., & Coughlan, J. J. (2022) · Heart Lung and Circulation · doi:10.1016/j.hlc.2022.06.694 · Cited by 25 · see citing works
Tackling the challenge of needless surgical waste in ophthalmology
Chang, D. F. (2023) · Journal of Cataract & Refractive Surgery · doi:10.1097/j.jcrs.0000000000001175 · Cited by 25 · see citing works
Ordway, A., Pitonyak, J. S., & Johnson, K. L. (2018) · Disability and Rehabilitation Assistive Technology · doi:10.1080/17483107.2018.1508516 · Cited by 25 · see citing works
The United European Gastroenterology green paper—climate change and gastroenterology
Duijvestein, M., Sidhu, R., Zimmermann, K., Carrington, E. V., Hann, A., Sousa, P., Touw, H. R. W., van Hooft, J. E., & Müller, M. (2024) · United European Gastroenterology Journal · doi:10.1002/ueg2.12698 · Cited by 24 · see citing works
Comparative Life Cycle Assessment Between Single-Use and Reprocessed IPC Sleeves
Lichtnegger, S., Meissner, M., Paolini, F., Veloz, A., & Saunders, R. (2023) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s439982 · Cited by 23 · see citing works
Krohn, M., Fengler, J., Mickley, T., & Fleßa, S. (2019) · Health Economics Review · doi:10.1186/s13561-018-0218-2 · Cited by 22 · see citing works
Environmental sustainability from anesthesia providers’ perspective: a qualitative study
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Novosel, S., Prangenberg, C., Wirtz, D. C., Burger, C., Welle, K., & Kabir, K. (2022) · Die Chirurgie · doi:10.1007/s00104-021-01551-1 · Cited by 21 · see citing works
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Cano, N. S. D. S. L., Marino, M., Brooks, A. L., Eckelman, M. J., & Bilec, M. M. (2025) · Resources Conservation and Recycling · doi:10.1016/j.resconrec.2025.108317 · Cited by 21 · see citing works
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Ma, Y., & Han, S. (2022) · Plastic Surgery · doi:10.1177/22925503221088839 · Cited by 21 · see citing works
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Melnyk, A. I., Woods, N. C., & Moalli, P. (2023) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2023.04.025 · Cited by 21 · see citing works
de Ridder, E. F., Friedericy, H. J., van der Eijk, A. C., Dankelman, J., & Jansen, F. W. (2022) · Sustainability · doi:10.3390/su142113957 · Cited by 20 · see citing works
How we can reduce the environmental impact of our operating theatres: a narrative review
Roscioli, R., Wyllie, T., Neophytou, K., Dent, L., Lowen, D., Tan, D., Dunne, B., & Hodgson, R. (2023) · ANZ Journal of Surgery · doi:10.1111/ans.18770 · Cited by 20 · see citing works
Considerations for environmentally sustainable head and neck surgical oncology practice
Sanabria, Á., Kowalski, L. P., Nixon, I. J., Shaha, A. R., de Bree, R., Mäkitie, A. A., Rinaldo, A., & Ferlito, A. (2020) · American Journal of Otolaryngology · doi:10.1016/j.amjoto.2020.102719 · Cited by 20 · see citing works
Towards zero carbon healthcare: anaesthesia
Shelton, C., Knagg, R., Sondekoppam, R. V., & McGain, F. (2022) · BMJ · doi:10.1136/bmj-2021-069030 · Cited by 19 · see citing works
Environmental Sustainability Initiatives in the Operating Room: A Scoping Review
Görgün, E., Dehipawala, S., O’Hara, M., Naoumtchik, E., Gangoli, G., Ricketts, C. D., & Tommaselli, G. A. (2024) · Annals of Surgery Open · doi:10.1097/as9.0000000000000451 · Cited by 19 · see citing works
Four Ways Plastic Surgeons Can Fight Climate Change
Brown, C., & Meals, C. G. (2020) · Plastic & Reconstructive Surgery Global Open · doi:10.1097/gox.0000000000002961 · Cited by 19 · see citing works
Methods and evaluation metrics for reducing material waste in the operating room: a scoping review
Balch, J. A., Krebs, J. R., Filiberto, A. C., Montgomery, W. G., Berkow, L., Upchurch, G. R., & Loftus, T. J. (2023) · Surgery · doi:10.1016/j.surg.2023.04.051 · Cited by 18 · see citing works
Physicians’ roles on the front line of climate change
Sibbald, B. (2013) · Canadian Medical Association Journal · doi:10.1503/cmaj.130087 · Cited by 18 · see citing works
Surgery, anesthesia, and pathology: A practical primer on greening the delivery of surgical care
Asfaw, S. H., Galway, U. A., Hata, T., Moyle, J. K., & Gordon, I. O. (2021) · The Journal of Climate Change and Health · doi:10.1016/j.joclim.2021.100076 · Cited by 17 · see citing works
Strategies for Greener Hospital Operating Rooms
Potera, C. (2012) · Environmental Health Perspectives · doi:10.1289/ehp.120-a306a · Cited by 17 · see citing works
Pandemics, climate change, and the eye
Hamichi, S. E., Gold, A. S., Murray, T. G., & Graversen, V. K. (2020) · Graefe s Archive for Clinical and Experimental Ophthalmology · doi:10.1007/s00417-020-04947-7 · Cited by 17 · see citing works
Moya, E., Bryant, S. A., Horneck, N. C., Taylor, V., Alayleh, A. M., Alawa, J., Pintea, S. D., Lin, C., Bellaire, L. L., Saleh, J. R., et al. (2024) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2024.116178 · Cited by 15 · see citing works
Frewen, L., Grossman, E. S., & Basson, C. (2022) · Southern African Journal of Anaesthesia and Analgesia · doi:10.36303/sajaa.2022.28.1.2658 · Cited by 15 · see citing works
Go Green in Neuroradiology: towards reducing the environmental impact of its practice
Rovira, À., Salem, D. B., Geraldo, A. F., Cappelle, S., Poggio, A. D., Cocozza, S., Saatçi, I., Zlatareva, D., Lojo‐Lendoiro, S., Quattrocchi, C. C., et al. (2024) · Neuroradiology · doi:10.1007/s00234-024-03305-2 · Cited by 15 · see citing works
Environment-Friendly Practices in Operating Rooms in Turkey
Dönmez, Y. C., Aslan, A., & Gıersbergen, M. Y. V. (2018) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000296 · Cited by 15 · see citing works
Simple Green Changes for Anesthesia Practices to Make a Difference.
Yeoh, C. B., Lee, K. J., Coric, V., & Tollinche, L. E. (2020) · PubMed · Cited by 15 · see citing works
Waste management in Belgian operating rooms: A narrative review
Magasich‐Airola, N. P., Souberbielle, Q., Lhotel, L., Momeni, M., & Tircoveanu, R. (2024) · Acta Anaesthesiologica Belgica · doi:10.56126/75.2.47 · Cited by 14 · see citing works
Almukhtar, A., Batcup, C., Bowman, M., Beatty, J. W., Leff, D. R., Demirel, P., Judah, G., & Porat, T. (2024) · International Journal of Surgery · doi:10.1097/js9.0000000000001951 · Cited by 14 · see citing works
A Comparison of Environmental Impacts Between Reusable and Disposable Flexible Laryngoscopes
Kidane, J., Thiel, C. L., Wang, K., Rosen, C. A., & Gandhi, S. (2024) · The Laryngoscope · doi:10.1002/lary.31927 · Cited by 14 · see citing works
Lost in the Ether: The Environmental Impact of Anesthesia
Herr, M. M., Outterson, R. E., & Aggarwal, S. (2022) · Operative Techniques in Orthopaedics · doi:10.1016/j.oto.2022.100997 · Cited by 14 · see citing works
Weller, M. A. (2020) · International Anesthesiology Clinics · doi:10.1097/aia.0000000000000295 · Cited by 13 · see citing works
Reducing the Environmental Impact of Clinical Care
Smith, A. L., & Severn, M. (2023) · Canadian Journal of Health Technologies · doi:10.51731/cjht.2023.625 · Cited by 12 · see citing works
Meissner, M., Hafermann, J. O., Silas, U., & Saunders, R. (2023) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s415989 · Cited by 12 · see citing works
Sathe, T. S., Sorrentino, T. A., Wang, K., Yap, A., Wang, J., Matthys, M. B., Yin, R. R., Alseidi, A. A., Lee, H., & Gandhi, S. (2023) · Journal of Surgical Research · doi:10.1016/j.jss.2023.11.004 · Cited by 12 · see citing works
Improving Environmental Sustainability of Operating Theatres
Lodhia, S., Pegna, V., Abrams, R., Jackson, D., Rockall, T., & Rizan, C. (2024) · Annals of Surgery · doi:10.1097/sla.0000000000006337 · Cited by 12 · see citing works
McLeod, R. S. (2021) · Annals of Surgery · doi:10.1097/sla.0000000000004995 · Cited by 12 · see citing works
Anastasopoulos, N.-A., & Papalois, V. E. (2022) · Journal of the Royal Society of Medicine · doi:10.1177/01410768221095242 · Cited by 12 · see citing works
Aljohani, E. A., Albarrak, A., Akkasi, H. A., Aljasir, N., Almaslouk, M. S., Alqahtani, F., Alshammari, M. M., Alanazi, M., & Alqahtani, S. (2023) · Medicine · doi:10.1097/md.0000000000034584 · Cited by 11 · see citing works
The “6th R” of sustainability: Repurposing operating room waste for community benefit
Bae, J. H., Ravinal, L., Barth, E., Yanda, M., Bae, D. S., Arato, G., & Lewandowski, K. S. (2024) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2024.115930 · Cited by 11 · see citing works
Bai, V. R., Vanitha, G., & Ariff, A. R. Z. (2013) · Infection Control and Hospital Epidemiology · doi:10.1086/673461 · Cited by 11 · see citing works
Sustainability in Obstetrics and Gynecology
Wright, K. N., Melnyk, A. I., Emont, J., & van Dis, J. (2023) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000005435 · Cited by 11 · see citing works
Romano, L., Giuliani, A., Muselli, M., Lupi, E., Iacomino, E., Nardi, P. D., & Vistoli, F. (2024) · World Journal of Surgery · doi:10.1002/wjs.12237 · Cited by 11 · see citing works
The intersection of pediatric surgery, climate change, and equity
Cockrell, H. C., Hansen, E. E., Gow, K. W., Fecteau, A. H., & Greenberg, S. L. M. (2023) · Journal of Pediatric Surgery · doi:10.1016/j.jpedsurg.2023.01.017 · Cited by 11 · see citing works
Implementing recycling in the operating room: a single-center experience
Mastronardi, M., Bortul, M., Dragani, F., Biloslavo, A., de Manzini, N., & Palmisano, S. (2025) · Surgical Endoscopy · doi:10.1007/s00464-024-11502-6 · Cited by 10 · see citing works
Skraastad, E. J., Elvir-Lazo, O. L., White, P. F., Chernobylsky, D., Brring, R., & Yumul, R. (2025) · BJA Open · doi:10.1016/j.bjao.2025.100406 · Cited by 9 · see citing works
Banhidy, F. P., & Banhidy, N. F. (2022) · Cureus · doi:10.7759/cureus.30023 · Cited by 9 · see citing works
Vasilevski, V., Huynh, J., Whitehead, A., Noble, C., Machado, C., & Sweet, L. P. (2023) · Journal of Advanced Nursing · doi:10.1111/jan.15789 · Cited by 9 · see citing works
Neptune versus canister-based surgical waste management in Europe: results of the GREEN study
Baker, S. E., Clark, J., Pla, A. B., Feixas, E. V., Huegel, J., & Tariq, L. (2023) · Annals of Medicine and Surgery · doi:10.1097/ms9.0000000000000934 · Cited by 9 · see citing works
Al-Abbasi, G., Brennan, C., Ohly, N. E., & Gee, C. W. (2025) · Annals of The Royal College of Surgeons of England · doi:10.1308/rcsann.2024.0114 · Cited by 8 · see citing works
Akashi, Y., Enomoto, T., Shikama, A., Ichimura, H., Ogawa, K., Owada, Y., Furuya, K., Takahashi, K., Shimomura, O., Miyazaki, Y., et al. (2025) · Surgical Endoscopy · doi:10.1007/s00464-025-12390-0 · Cited by 8 · see citing works
Al-Otaibi, J. S., Almuqrin, A. H., Mary, Y. S., & Mary, Y. S. (2021) · Journal of Biomolecular Structure and Dynamics · doi:10.1080/07391102.2020.1870155 · Cited by 8 · see citing works
Richter, H., Schulz-Stübner, S., Pecher, S., Orlowski, S., Coburn, M., & Schuster, M. (2023) · Die Anaesthesiologie · doi:10.1007/s00101-023-01268-2 · Cited by 8 · see citing works
Nachhaltigkeit in der chirurgischen Niederlassung – ein narratives Review
Mezger, N. C. S., Eickel, F., Lorenz, R., & Griesel, M. (2023) · Die Chirurgie · doi:10.1007/s00104-022-01785-7 · Cited by 8 · see citing works
LIFE: International Journal of Health and Life-Sciences
Ghedadba, N., Hambaba, L., Fercha, N., Bousselsela, H., Abdessemed, S., Mokhtar, S. M. O., & Unité de Biodiversité et Valorisation des Ressources Végétales (BVRV) – Faculté des Sciences et Techniques (FST)- Université des Sciences, D. T. E. D. M. (. N. (2016) · LIFE International Journal of Health and Life-Sciences · doi:10.20319/lijhls.2016.s21.253258 · Cited by 8 · see citing works
- Authors
- Kagoma, Y., Stall, N., Rubinstein, E., & Naudie, D.
- Affiliations
- Western University (CA)
- ORCID
- Stall, Nathan
- Venue
- Canadian Medical Association Journal
- Publisher
- CMA Joule Inc.
- Published
- 2012-06-04
- Volume
- 184
- Issue
- 17
- Pages
- 1905-1911
- ISSN
- 0820-3946 (ISSN-L)
- 1488-2329
- PMC
- PMC3503903
- OpenAlex
- W2130867920
- Cited by
- 229
- References
- 41
- Citations by year
- 2026: 30 · 2025: 33 · 2024: 36 · 2023: 36 · 2022: 29 · 2021: 17 · 2020: 18 · 2019: 4 · 2018: 9 · 2017: 2 · 2016: 6 · 2015: 2 · 2014: 1 · 2013: 5 · 2012: 1
- FWCI
- 2.78
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Canadian Medical Association Journal (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare and Environmental Waste Management
- Social Sciences › Urban Studies › Healthcare Facilities Design and Sustainability
- Life Sciences › Immunology and Microbiology › Microbiology › Medical Device Sterilization and Disinfection
- Keywords
- environmental sustainability in healthcare, single-use medical devices, reusable medical devices, health care waste, blood-borne transmission, environmental impact of healthcare
- MeSH terms
- Humans, Operating Rooms, Waste Disposal, Fluid, Gas Scavengers, Health Care Costs, Efficiency, Organizational, Equipment Reuse, Medical Waste Disposal, Greenhouse Effect, Product Packaging
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