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지구 기후변화와 마취통증의학과 의사의 역할Global climate change and the role of anesthesiologist

Other Titles
Global climate change and the role of anesthesiologist
Authors
김재환
Issue Date
Dec-2021
Publisher
대한의사협회
Keywords
Climate change; Medical wastes; Greenhouse gases; Anesthesia; 기후변화; 의료폐기물; 온실가스; 마취
Citation
Journal of the Korean Medical Association, v.64, no.12, pp 794 - 799
Pages
6
Indexed
SCOPUS
ESCI
KCI
Journal Title
Journal of the Korean Medical Association
Volume
64
Number
12
Start Page
794
End Page
799
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/55075
DOI
10.5124/jkma.2021.64.12.794
ISSN
1975-8456
2093-5951
Abstract
[한국어 초록 없음]
Background: Environmental issues and health problems related to global climate change are becoming increasingly serious. An effective eco-friendly strategy is required to reduce medical waste and greenhouse gas emissions caused by anesthesia in hospitals. Current Concepts: Inhalation anesthetics are very strong greenhouse gases in the order of desflurane, isoflurane, nitrous oxide, and sevoflurane. Anesthetics with high global warming potential and long atmospheric lifetimes should be used with caution. Only the minimum required dose of an anesthetic drug with a low persistence bioaccumulation toxicity index is recommended for use. Disposable anesthesia products are known to have a low purchase price and low risk of cross-contamination; however, this may not be the case. By using eco-friendly anesthetic supplies, recycling and reuse, we can avoid wasting money and resources. Discussion and Conclusion: Greenhouse gas emissions from the use of anesthetics are excluded from United Nations regulations due to their necessity. However, while guaranteeing patient safety, anesthesiologists must fulfill their professional ethical obligations by striving to reduce medical waste and greenhouse gas emissions.
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Kim, Jae Hwan
Ansan Hospital (Department of Anesthesiology and Pain Medicine, Ansan Hospital)
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