Sustainability in anaesthesia and critical care in Latvia: survey
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Date
2023
Authors
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Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Lai anestēzija un intensīvā terapija būtu ilgtspējīga, ir jālīdzsvaro pacienta ieguvumi, ekonomiskās un vides izmaksas. Mērķis bija noteikt inhalējamo anestēzijas līdzekļu, vienreizlietojamo materiālu biežumu un lietošanu, kā arī zāļu, CO2 absorbentu un bioloģisko atkritumu iznīcināšanu. Anesteziologi - reanimatologi un intensīvās terapijas ārsti ir autoritāras personas un var padarīt veselības aprūpi ilgtspējīgu.
Aptaujājām Latvijas anesteziologus, iedzīvotājus ar tiešsaistes platformu "Survey Monkey. 72 tika aptaujāti vecumā no 25 līdz 60 gadiem.
Rezultāti.
53% respondentu lieto N20. 90% izvēlas lietot Sevoflurānu, 57% no tiem, kas to lieto katru dienu. 82% izvairās no Desfluran lietošanas. 62% CO2 absorbentus izmet bioloģiskajos atkritumos, 36% speciālos konteineros, 6% sadzīves atkritumos. 73% aizstāj CO2 absorbentus, kad ir mainījusies 1/3 – 2/3 krāsas, 42%, kad saglabājas persistenta hiperkapnija, 35%, kad EtCO2 palielinās. 76% atbrīvojas no sagatavotiem, bet neievadītiem medikamentiem bioloģiskajos atkritumos, 25% specializētajā izlietnē, 18% parastajā izlietnē. 83% izmet medikamentus ievadīšanas bioloģiskajos atkritumos, 19% specializētajā izlietnē, tomēr 18% parastajā izlietnē. 62% izmanto 3-6 cimdus vienam pacientam, 18% 7-10 cimdus, 14% vairāk nekā 10 cimdus. 30% 21 – 30, 25% 10-20, 31-40 un vecāki par 50 izmanto 12%. Aptuveni 80% ikdienā lieto vienreizlietojamās cepures un sejas maskas, 75% respiratorus. 64% lieto priekšautu un 57% vienreiz lietojamo uzsvārci katru dienu, 47% to maina mazāk nekā 2 reizes dienā, 33% maina to 3-5 dienā.
Secinājumi.
Anestēzijas gāze, kam tiek dota priekšroka ir Sevoflurāns, kam seko N20, tad Desflurāns. Neviens no respondentiem nezina visus kritērijus, kas norāda uz CO2 absorbenta nomaiņas nepieciešamību. Ievērojama daļa no visiem respondentiem (18%) medikamentu pārpalikumus izmet parastā izlietnē, kas nav paredzēta medicīnisko atkritumu izmešanai. Aptauja liecina, ka zināšanas par medicīnisko atkritumu pareizu apglabāšanu ir nepietiekamas.
To make anaesthesia and critical care sustainable it needs to be balanced between benefit for the patient, economic and environmental costs. The aim was to identify frequency and usage of inhaled anaesthetics, single-use materials, and a propper disposal of drugs, CO2 absorbents and biological waste. Anaesthesiologists - reanimatologists and critical care physicians are in authority to make healthcare sustainable. We surveyed Latvian anesthetists, residents with online platform Survey Monkey. 72 were surveyed in the age from 25-60 years. Results. 53% of responders use N20. 90% prefer to use Sevoflurane, 57% out of those use it daily. 82% avoid using Desfluran. 62% dispose CO2 absorbents in biological waste, 36% in special containers, 6% in domestic waste. 73% replace CO2 absorbents when 1/3 – 2/3 of the colour has changed, 42% when hypercapnia persists, 35% when EtCO2 increases. 76% dispose prepared, but not administered drugs in biological waste, 25% in specialized sink, 18% in usual sink. 83% dispose the drug after administration in biological waste, 19% in specialized sink, however 18% in usual sink. 62% use 3-6 gloves for one pacient, 18% 7-10 gloves, 14% more than 10 gloves. 30% 21 – 30, 25% 10-20, 31-40 and over 50 use 12%. About 80% use disposable caps and face masks daily, 75% respirators. 64% use apron and 57% disposable smock daily, 47% change it less than 2 times a day, 33% change it 3-5 per day. 75% dispose single-use materials and linen in biological waste, 25% in special containers, 8% in domestic waste. Conclusions Most preffered inhaled anestethic is Sevoflurane, followed by N20, then Desflurane. None of the respondents know all of the criteria that indicates CO2 absorbent needs be changed. A significant amount of all respondents (18%) dispose of left over drugs in a regular sink, that is not ment for medical waste. The survey indicates that the knowladge about proper disposal of medical waste is insufficient.
To make anaesthesia and critical care sustainable it needs to be balanced between benefit for the patient, economic and environmental costs. The aim was to identify frequency and usage of inhaled anaesthetics, single-use materials, and a propper disposal of drugs, CO2 absorbents and biological waste. Anaesthesiologists - reanimatologists and critical care physicians are in authority to make healthcare sustainable. We surveyed Latvian anesthetists, residents with online platform Survey Monkey. 72 were surveyed in the age from 25-60 years. Results. 53% of responders use N20. 90% prefer to use Sevoflurane, 57% out of those use it daily. 82% avoid using Desfluran. 62% dispose CO2 absorbents in biological waste, 36% in special containers, 6% in domestic waste. 73% replace CO2 absorbents when 1/3 – 2/3 of the colour has changed, 42% when hypercapnia persists, 35% when EtCO2 increases. 76% dispose prepared, but not administered drugs in biological waste, 25% in specialized sink, 18% in usual sink. 83% dispose the drug after administration in biological waste, 19% in specialized sink, however 18% in usual sink. 62% use 3-6 gloves for one pacient, 18% 7-10 gloves, 14% more than 10 gloves. 30% 21 – 30, 25% 10-20, 31-40 and over 50 use 12%. About 80% use disposable caps and face masks daily, 75% respirators. 64% use apron and 57% disposable smock daily, 47% change it less than 2 times a day, 33% change it 3-5 per day. 75% dispose single-use materials and linen in biological waste, 25% in special containers, 8% in domestic waste. Conclusions Most preffered inhaled anestethic is Sevoflurane, followed by N20, then Desflurane. None of the respondents know all of the criteria that indicates CO2 absorbent needs be changed. A significant amount of all respondents (18%) dispose of left over drugs in a regular sink, that is not ment for medical waste. The survey indicates that the knowladge about proper disposal of medical waste is insufficient.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
aptauja, vide, Survey; Enviroment