The optimal mode of anaesthesia: are we ready for an evidence-based recommendation?

IF 9.1 1区医学 Q1 ANESTHESIOLOGY

British journal of anaesthesia Pub Date : 2025-04-17 DOI:10.1016/j.bja.2025.03.005

Jasper M. Kampman , Nicolaas H. Sperna Weiland

引用次数: 0

Abstract

An environmental impact study compared the carbon footprint of three large French hospitals, one that used >99% total intravenous anaesthesia, one that used target-controlled inhalation anaesthesia, and one that used manually optimised fresh gas flow. We consider these results with previously published environmental impact analyses to determine which mode of anaesthesia is most environmentally friendly. Current understanding in the field following the triple bottom line of ‘patient, planet, profit’ informs an evidence-based recommendation around the optimal default mode of anaesthesia.

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最佳麻醉模式：我们准备好接受循证推荐了吗？

一项环境影响研究比较了法国三家大型医院的碳足迹，一家使用99%的静脉麻醉，一家使用目标控制的吸入麻醉，一家使用人工优化的新鲜气体流量。我们考虑这些结果与先前发表的环境影响分析，以确定哪种麻醉模式是最环保的。目前在该领域的理解遵循“患者、地球、利润”的三重底线，为围绕最佳默认麻醉模式的循证推荐提供了依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British journal of anaesthesia 医学-麻醉学

CiteScore

13.50

自引率

7.10%

发文量

488

审稿时长

27 days

期刊介绍： The British Journal of Anaesthesia (BJA) is a prestigious publication that covers a wide range of topics in anaesthesia, critical care medicine, pain medicine, and perioperative medicine. It aims to disseminate high-impact original research, spanning fundamental, translational, and clinical sciences, as well as clinical practice, technology, education, and training. Additionally, the journal features review articles, notable case reports, correspondence, and special articles that appeal to a broader audience. The BJA is proudly associated with The Royal College of Anaesthetists, The College of Anaesthesiologists of Ireland, and The Hong Kong College of Anaesthesiologists. This partnership provides members of these esteemed institutions with access to not only the BJA but also its sister publication, BJA Education. It is essential to note that both journals maintain their editorial independence. Overall, the BJA offers a diverse and comprehensive platform for anaesthetists, critical care physicians, pain specialists, and perioperative medicine practitioners to contribute and stay updated with the latest advancements in their respective fields.