Perspectives on sustainable practices in the use of nitrous oxide for labour analgesia: A patient and staff survey.

IF 4.2 2区 医学 Q1 ANESTHESIOLOGY
European Journal of Anaesthesiology Pub Date : 2024-07-01 Epub Date: 2024-05-16 DOI:10.1097/EJA.0000000000002005
Conor McGarrigle, Sean Hartigan, Oscar Duffy, Terry Tan
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Abstract

Background: Climate change has emerged as the single biggest global health threat of the twenty-first century. Nitrous oxide accounts for the largest carbon footprint amongst our use of anaesthetic gas. It is a potent greenhouse gas possessing a global warming potential of approximately 265 times that of carbon dioxide. Despite recent curtailment of its use, it remains extensively employed as an analgesic for women in labour.

Objectives: Assessment of the opinions of post-natal women and staff on nitrous oxide use and to investigate whether knowledge of its environmental harm would influence their choice of labour analgesia.

Design: Postnatal women and healthcare staff were invited to participate in a survey of nitrous oxide use as a labour analgesic and knowledge of its effect of the environment.

Setting: A single-centre study in a major obstetric tertiary referral centre in Ireland in 2021.

Main outcome measures: To evaluate the awareness and perceptions of postnatal women and staff regarding the environmental impact of nitrous oxide and if it would affect their decision to use it in the future.

Results: One hundred postnatal women and 50 healthcare staff completed the survey. One hundred and six post-natal women were invited to complete the survey, resulting in a response rate of 94%. Knowledge of nitrous oxide's environmental impact was low. After receiving information, 46% of patients were more inclined to seek epidural or request it earlier (54%) to limit their nitrous oxide use, while 51% would choose an alternative analgesia to avoid nitrous oxide altogether. Overwhelmingly, 99% believed they had the right to know about these harmful effects when choosing an analgesic option.

Conclusions: Patients should be informed of the environmental impact of nitrous oxide antenatally, empowering them to make informed decision on a climate friendly analgesic option if they wish.

关于使用一氧化二氮分娩镇痛的可持续实践的观点:患者和员工调查。
背景:气候变化已成为二十一世纪全球最大的健康威胁。在我们使用的麻醉气体中,一氧化二氮的碳足迹最大。它是一种强效温室气体,其全球升温潜能值约为二氧化碳的 265 倍。尽管最近减少了它的使用,但它仍被广泛用作产妇的镇痛剂:目的:评估产后妇女和医护人员对使用一氧化二氮的看法,并调查了解一氧化二氮对环境的危害是否会影响她们对分娩镇痛的选择:设计:邀请产后妇女和医护人员参与调查,了解一氧化二氮作为分娩镇痛剂的使用情况及其对环境影响的认识:主要结果测量:主要结果测量:评估产后妇女和工作人员对一氧化二氮环境影响的认识和看法,以及这是否会影响他们将来使用一氧化二氮的决定:100 名产后妇女和 50 名医护人员完成了调查。有 106 名产后妇女受邀完成了调查,回复率为 94%。对一氧化二氮的环境影响知之甚少。在获得相关信息后,46% 的患者更倾向于寻求硬膜外麻醉或提前申请(54%),以限制一氧化二氮的使用,而 51% 的患者会选择其他镇痛方法,以完全避免使用一氧化二氮。绝大多数人认为,99% 的人在选择镇痛药时有权了解这些有害影响:结论:应在产前向患者告知一氧化二氮对环境的影响,使他们能够根据自己的意愿做出明智的决定,选择对环境无害的镇痛方式:无干预
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来源期刊
CiteScore
6.90
自引率
11.10%
发文量
351
审稿时长
6-12 weeks
期刊介绍: The European Journal of Anaesthesiology (EJA) publishes original work of high scientific quality in the field of anaesthesiology, pain, emergency medicine and intensive care. Preference is given to experimental work or clinical observation in man, and to laboratory work of clinical relevance. The journal also publishes commissioned reviews by an authority, editorials, invited commentaries, special articles, pro and con debates, and short reports (correspondences, case reports, short reports of clinical studies).
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