Search publications and datasets Advanced search. Adewale AdisaMichael Bahrami-HessariAneel BhanguChristina GeorgeDhruv GhoshJames GlasbeyParvez HaqueJ C Allen IngabireSivesh Kathir KamarajahLaura Kudrnaet al. Downloads Download. Adisa, A. BRITISH JOURNAL OF SURGERY7— Adisa, Adewale, Michael Bahrami-Hessari, Aneel Bhangu, Christina George, Dhruv Ghosh, James Glasbey, Parvez Haque, et al. Adisa A, Bahrami-Hessari M, Bhangu A, George C, Ghosh D, Glasbey J, et al. BRITISH JOURNAL OF SURGERY. Adisa et al. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods: This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was coprioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of are matteo and emiliano dating were presented by their relevance to high-income countries and low-middle-income countries. Results: In phase 1, 43 interventions were identified, which had low uptake in practice according to professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia 84 per cent and re-sterilization of 'single-use' consumables 86 per cent. In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low-middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion: This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high- and low-middle-income countries. Altmetric View in Altmetric Web of Science Times cited:.
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