Reducing the use of Desflurane and Nitrous oxide: what is your approach?

Sustainable Operating Theatres Network - Centre for Sustainable Healthcare

Volatile gases have a huge carbon footprint as potent greenhouse gases. We are keen to get a snapshot of how people are trying to reduce the use of desflurane and nitrous oxide.

Question Title

* 1. What region do you work in?

Question Title

* 2. Which Hospital/Trust?

Question Title

* 3. Which of the following strategies are you using to reduce the use of desflurane?

Education

Measuring

Removal of desflurane vaporisers (from back bar of anaesthetic machine as default)

Stopping desflurane procurement

Other behavioural nudges for reduction of desflurane use (please outline in comments box)

Question Title

* 4. Which of the following strategies are you using to reduce the use of nitrous oxide?

Education

Measuring

Use of alternative analgesic agents (e.g. methoxyflurane, remifentanil infusion/pca etc)

Unplugging / capping off nitrous oxide supply

Other behavioural nudges for reduction of nitrous oxide use (please outline in comments box)

Question Title

* 5. Have there been attempts to reduce inhalational anaesthetic use overall?

TIVA

Regional techniques (Neuroaxial and nerve block techniques +/- sedation)

No/none

Other (please outline in comments box)

Question Title

* 6. What has been the overall response to any changes in your hospital/trust?

Positive

Negative

If you would like to elaborate, please do!

Question Title

* 7. Are there any other comments on this subject you would like to share with the network?

Question Title

* 8. Would you be happy to be contacted by us about your responses to the survey?

No thank you, would prefer to remain anonymous

Yes (please provide an email address)