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Background <p>The healthcare sector in Germany accounts for approximately 6–7% of national greenhouse gas emissions. Anesthesiology was among the first medical disciplines to publish recommendations on reducing the climate-damaging effects of medical procedures.</p> Objective <p>This article summarizes the development of sustainability in the field of anesthesiology, explains key concepts and outlines specific measures to reduce environmental impacts.</p> Material and methods <p>The article is based on a&#xa0;literature review of position and consensus statements from national and international professional societies and of scientific publications on anesthesia-related greenhouse gas emissions. Measures to improve sustainability in the field of anesthesiology are categorized and discussed.</p> Results <p>Strategies for sustainable transformation in healthcare take ecological, economic and social aspects into account. Approaches identified by German and European professional associations include reducing inhalation anesthetics through minimal fresh gas flows, avoiding desflurane and nitrous oxide, using total intravenous anesthesia (TIVA) or regional anesthesia, optimizing waste management according to the 5Rs principle and improving energy savings.</p> Conclusion <p>The recommendations from anesthesiology associations demonstrate that sustainable practice in anesthesiology is possible and should be systematically implemented into daily routines. Further research in the field of sustainability is required. Interdisciplinary cooperation between anesthesia, surgical disciplines and hospital management is essential for the successful implementation of sustainability measures.</p>

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Nachhaltige Anästhesie

  • 期刊论文

  • 发表日期：

    2026年3月31日

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  • Theresa Dölker,
  • Linda Grüßer,
  • Hannah Richter,
  • Sabine Pecher,
  • Charlotte Samwer,
  • Jan Larmann,
  • Despina Panagiotidis

摘要

Background

The healthcare sector in Germany accounts for approximately 6–7% of national greenhouse gas emissions. Anesthesiology was among the first medical disciplines to publish recommendations on reducing the climate-damaging effects of medical procedures.

Objective

This article summarizes the development of sustainability in the field of anesthesiology, explains key concepts and outlines specific measures to reduce environmental impacts.

Material and methods

The article is based on a literature review of position and consensus statements from national and international professional societies and of scientific publications on anesthesia-related greenhouse gas emissions. Measures to improve sustainability in the field of anesthesiology are categorized and discussed.

Results

Strategies for sustainable transformation in healthcare take ecological, economic and social aspects into account. Approaches identified by German and European professional associations include reducing inhalation anesthetics through minimal fresh gas flows, avoiding desflurane and nitrous oxide, using total intravenous anesthesia (TIVA) or regional anesthesia, optimizing waste management according to the 5Rs principle and improving energy savings.

Conclusion

The recommendations from anesthesiology associations demonstrate that sustainable practice in anesthesiology is possible and should be systematically implemented into daily routines. Further research in the field of sustainability is required. Interdisciplinary cooperation between anesthesia, surgical disciplines and hospital management is essential for the successful implementation of sustainability measures.