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<p>Volatile anesthetics and nitrous oxide are potent greenhouse gases (GHG) and when misused, can have significant cost and environmental implications. To determine the effects of mitigation strategies deployed within a large, multicenter academic health system, we developed a visual dashboard to determine the impact of these strategies on volatile and nitrous oxide use and waste. Specifically, we deployed three mitigation strategies: informational campaign on the detrimental effects of desflurane and nitrous oxide use to anesthesia chairs across the health system; best practice advisory (BPA) for fresh gas flow within the intra-operative electronic medical record (EMR), and process changes including removal of desflurane vaporizers and decentralization of nitrous oxide delivery at one of the centers. These projects led to significant reductions in GHG emissions, albeit some projects were more effective than others. These findings emphasize the need for a multi-factorial approach, with accurate data capture, to reduce the carbon footprint of anesthetic agents.</p>

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Tracking Greenhouse Gas Emission Initiatives Across a Large Academic Health System Utilizing Innovative Dashboards

  • 期刊论文

  • 发表日期：

    2026年3月18日

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  • Semerjit Bains,
  • Luis Ahumada,
  • Fiorella Gonzales,
  • Frederick Kuo,
  • Ryan Shargo,
  • Brant Tudor,
  • Mohamed Rehman,
  • Nicholas M. Dalesio

摘要

Volatile anesthetics and nitrous oxide are potent greenhouse gases (GHG) and when misused, can have significant cost and environmental implications. To determine the effects of mitigation strategies deployed within a large, multicenter academic health system, we developed a visual dashboard to determine the impact of these strategies on volatile and nitrous oxide use and waste. Specifically, we deployed three mitigation strategies: informational campaign on the detrimental effects of desflurane and nitrous oxide use to anesthesia chairs across the health system; best practice advisory (BPA) for fresh gas flow within the intra-operative electronic medical record (EMR), and process changes including removal of desflurane vaporizers and decentralization of nitrous oxide delivery at one of the centers. These projects led to significant reductions in GHG emissions, albeit some projects were more effective than others. These findings emphasize the need for a multi-factorial approach, with accurate data capture, to reduce the carbon footprint of anesthetic agents.