A review of environmental and economic aspects of medical devices, illustrated with a comparative study of double-lumen tubes used for one-lung ventilation.
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| Title: | A review of environmental and economic aspects of medical devices, illustrated with a comparative study of double-lumen tubes used for one-lung ventilation. |
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| Authors: | Sørensen, Birgitte Lilholt1 (AUTHOR) bls@igt.sdu.dk, Larsen, Sara2 (AUTHOR), Andersen, Claus3 (AUTHOR) |
| Source: | Environment, Development & Sustainability. Nov2023, Vol. 25 Issue 11, p13219-13252. 34p. |
| Subject Terms: | *Artificial respiration, *Environmental impact analysis, *Technological innovations, *Hospital supplies, *Product life cycle assessment, *Medical equipment, *Bronchoscopes |
| Abstract: | When health care management considers implementing a new technology such as a medical device, it is crucial to take workflow, clinical outcome, economy, and environmental impacts into consideration in the decision-making process. This study outlines the knowledge status of this complex challenge via a systematic literature review (SLR). The SLR found 133 of 1570 screened publications that covered relevant frameworks for choosing hospital equipment (i.e., related economics, life cycle assessment, waste generation and health issues). Yet, just five publications addressed choosing single-use vs. reuse of tubes or similar types of equipment by economic and environmental considerations through a systematic quantitative approach. The SLR reveals few publicly available peer-reviewed studies for the optimal sustainable choice of equipment. This study assesses environmental impacts of carbon dioxide (CO2) emissions as CO2-equivalents and resource consumption of a single-use double-lumen tube (DLT) combined with a reusable bronchoscope were compared to a single-use DLT with an integrated single-use camera. Camera DLTs exclude or minimize the need for a bronchoscope to verify correct tube placement during one-lung ventilation. The life cycle assessment shows that the materials and energy used and needed for personnel protective equipment and cleaning of the reusable bronchoscope contribute significantly to CO2-equivalent emissions. To ensure the sustainable choice of equipment this aspect must not be overlooked. Secondly, future reuse of plastic waste materials from the use can contribute significantly to better environmental performance. [ABSTRACT FROM AUTHOR] |
| Database: | Energy & Power Source |
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| Header | DbId: enr DbLabel: Energy & Power Source An: 172867399 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: A review of environmental and economic aspects of medical devices, illustrated with a comparative study of double-lumen tubes used for one-lung ventilation. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Sørensen%2C+Birgitte+Lilholt%22">Sørensen, Birgitte Lilholt</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> bls@igt.sdu.dk</i><br /><searchLink fieldCode="AR" term="%22Larsen%2C+Sara%22">Larsen, Sara</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Andersen%2C+Claus%22">Andersen, Claus</searchLink><relatesTo>3</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Environment%2C+Development+%26+Sustainability%22">Environment, Development & Sustainability</searchLink>. Nov2023, Vol. 25 Issue 11, p13219-13252. 34p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Artificial+respiration%22">Artificial respiration</searchLink><br />*<searchLink fieldCode="DE" term="%22Environmental+impact+analysis%22">Environmental impact analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Technological+innovations%22">Technological innovations</searchLink><br />*<searchLink fieldCode="DE" term="%22Hospital+supplies%22">Hospital supplies</searchLink><br />*<searchLink fieldCode="DE" term="%22Product+life+cycle+assessment%22">Product life cycle assessment</searchLink><br />*<searchLink fieldCode="DE" term="%22Medical+equipment%22">Medical equipment</searchLink><br />*<searchLink fieldCode="DE" term="%22Bronchoscopes%22">Bronchoscopes</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: When health care management considers implementing a new technology such as a medical device, it is crucial to take workflow, clinical outcome, economy, and environmental impacts into consideration in the decision-making process. This study outlines the knowledge status of this complex challenge via a systematic literature review (SLR). The SLR found 133 of 1570 screened publications that covered relevant frameworks for choosing hospital equipment (i.e., related economics, life cycle assessment, waste generation and health issues). Yet, just five publications addressed choosing single-use vs. reuse of tubes or similar types of equipment by economic and environmental considerations through a systematic quantitative approach. The SLR reveals few publicly available peer-reviewed studies for the optimal sustainable choice of equipment. This study assesses environmental impacts of carbon dioxide (CO2) emissions as CO2-equivalents and resource consumption of a single-use double-lumen tube (DLT) combined with a reusable bronchoscope were compared to a single-use DLT with an integrated single-use camera. Camera DLTs exclude or minimize the need for a bronchoscope to verify correct tube placement during one-lung ventilation. The life cycle assessment shows that the materials and energy used and needed for personnel protective equipment and cleaning of the reusable bronchoscope contribute significantly to CO2-equivalent emissions. To ensure the sustainable choice of equipment this aspect must not be overlooked. Secondly, future reuse of plastic waste materials from the use can contribute significantly to better environmental performance. [ABSTRACT FROM AUTHOR] |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=enr&AN=172867399 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10668-022-02611-0 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 34 StartPage: 13219 Subjects: – SubjectFull: Artificial respiration Type: general – SubjectFull: Environmental impact analysis Type: general – SubjectFull: Technological innovations Type: general – SubjectFull: Hospital supplies Type: general – SubjectFull: Product life cycle assessment Type: general – SubjectFull: Medical equipment Type: general – SubjectFull: Bronchoscopes Type: general Titles: – TitleFull: A review of environmental and economic aspects of medical devices, illustrated with a comparative study of double-lumen tubes used for one-lung ventilation. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Sørensen, Birgitte Lilholt – PersonEntity: Name: NameFull: Larsen, Sara – PersonEntity: Name: NameFull: Andersen, Claus IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: Nov2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 1387585X Numbering: – Type: volume Value: 25 – Type: issue Value: 11 Titles: – TitleFull: Environment, Development & Sustainability Type: main |
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