Name
#212 - Less Gas, More Green: lowering the CO2 footprint of anesthesia
Date & Time
Monday, February 12, 2024, 12:00 PM
Description

Healthcare is a giant amongst greenhouse house gas (GHG) contributors. Hospitals produce enormous amounts of waste, and OR’s account for 30%. When an anesthetic is performed, all the excess gas is pushed into the atmosphere where it contributes to GHG formation. One of the agents we use equates to driving 420 mph in CO2 production, this very same gas was recently banned in Scotland. Additionally, another one of the agents lasts in the atmosphere for 114 years. A recent study by a VA researcher has shown the serious impact heat-related illness has on veteran's health nationwide. To decrease a facility’s CO2 footprint, anesthesia providers can lower their fresh gas flow during an anesthetic that is completely safe for patients. This lowering results in a decrease in anesthetic pollution of the environment and a decrease in expenditure on anesthesia gases. This solution can be easily taught, but healthcare provider are sometimes resistant to change, especially when the behavior change seems complicated. Through an educational approach, providers will be asked explicitly to stop using desflurane, nitrous oxide, and to decrease their fresh gas flows to under 2 liters. Literature and “recipe cards” will be QR-linked in the OR to aid the provider on the steps of safely lowering fresh gas flows. Over the course of the investment cycle, a protype educational series was delivered to various user groups, feedback was sought from these groups, and the iterative process completed. Through this process of iteration, a program was developed that met most of all users needs without complicating the material excessively. Prototyping allowed me to pivot quickly and refine the program to really help to distill the message. Healthcare providers are typically inundated with new information, research, and procedures. It was super important to me to make sure my messaging accounted for this, thus achieving a true human-centered design approach. I am passionate about climate change and the impact of humans on our world, and I fully believe that non-linear thinking is the solution to the various problems of climate change. This innovation’s superpower is in its collective impact of spreading this best practice across VISN 6 and the VA nationally. I am continually driven by innovating in my personal and professional life, and as a veteran, I think involving veterans in the innovation process is key.

Location Name
Prince Georges Exhibit Hall A/B
Content Presented on Behalf of
VHA/VA
Learning Outcomes
Following this presentation, the participant will be able to:
1. Describe the harmful effects of anesthesia gases on the environment
2. Discuss the means to mitigate these effects
3. Demonstrate the benefits of low flow anesthesia
Session Type
Posters
Dropdown Content Presented On Behalf Of:
VHA/VA