Provider Education and Vaporizer Labeling Lead to Reduced Anesthetic Agent Purchasing With Cost Savings and Reduced Greenhouse Gas Emissions.

Zuegge’s quality improvement project aiming to reduce OR greenhouse gas emissions is a must read, as is the editorial by Sherman. How we use volatiles in theatre plays a surprisingly large role in overall healthcare related greenhouse gas emissions. Desflurane and Nitrous Oxide are special molecules in many ways, but their probably fatal flaw is their very substantial global warming potential compared with sevoflurane, isoflurane and especially TIVA. Zuegge demonstrate a practical programme to address these issues, in a busy OR environment.

Reviewed by: Dr Justin Skowno