Environmental sustainability in intensive care : the path forward. An ESICM Green Paper
De Waele, Jan J. (Ghent University)
Hunfeld, Nicole (Erasmus MC University Medical Center (Rotterdam, Holanda))
Baid, Heather (University of Brighton)
Ferrer, Ricard (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Iliopoulou, Katerina (Hellenic National Public Health Organisation (Atenes, Grècia))
Ioan, Ana-Maria (Hospital Universitario Fundación Jiménez Díaz)
Leone, Marc (Aix-Marseille Université)
Ostermann, Marlies (King's College London)
Scaramuzzo, Gaetano (Azienda Ospedaliera Universitaria Sant'Anna (Ferrara, Itàlia))
Theodorakopoulou, Maria (National and Kapodistrian University of Athens Medical School)
Touw, Hugo (Radboud University Medical Centre (Nijmegen, Holanda))
Citerio, Giuseppe (Fondazione IRCCS San Gerardo dei Tintori)
Derde, Lennie P. G. (University Medical Center Utrecht)
Donadello, Katia (University Hospital Integrated Trust of Verona)
Juffermans, Nicole P. (Erasmus Medical Center (Rotterdam, Holanda))
Galarza, Laura (Consorci Hospitalari Provincial de Castelló)
Grasselli, Giacomo (University of Milan)
Maggiore, Salvatore Maurizio (SS Annunziata Hospital (Chieti, Itàlia))
Martin-Loeches, Ignacio (Centro de Investigación Biomédica en Red de Enfermedades Respiratorias)
Alexandre, Joel (European Society of Intensive Care Medicine (Bélgica))
Cecconi, Maurizio (IRCCS Humanitas Research Hospital (Milà, Itàlia))
Azoulay, Elie (APHP, Hôpital Saint-Louis, Paris Cité University)

Fecha:	2024
Resumen:	The European Society of Intensive Care Medicine (ESICM) Green Paper aims to address the challenge of environmental sustainability in intensive care and proposes actionable strategies for integrating sustainability into intensive care unit (ICU) stakeholder actions. The ESICM Executive Committee appointed a task force of topic experts and ESICM committee representatives to develop the ESICM Green Paper. The task force convened biweekly from January to June 2024, identifying key domains for environmental sustainability and prioritizing actions. Drafts were iteratively refined and approved by the ESICM Executive Committee. Climate change will impact activities in intensive care in many ways, but also the impact of ICU activities on the environment is considerable; drivers for this include extensive resource use and waste generation in ICUs from energy consumption, use of disposable items, and advanced therapies for critically ill patients. The ESICM Green Paper outlines a structured approach for ICUs to reduce their environmental impact, emphasizing energy efficiency, waste reduction, and sustainable procurement. Furthermore, it endorses the need for awareness and education among healthcare professionals, integration of sustainability into research, and sustainable policies within scientific societies. The ESICM Green Paper reviewed the relevance of climate change to intensive care and provided suggestions for clinical practice, research, education, and ESICM organizational domains. It underscores that reducing intensive care's ecological footprint can coexist with high-quality patient care. Promoting a resilient, responsible healthcare system is a joint responsibility of all ICU stakeholders.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Environmental sustainability ; Intensive care ; Waste management ; Resource consumption ; Procurement ; Climate change ; Energy efficiency
Publicado en:	Intensive Care Medicine, Vol. 50 (october 2024) , p. 1729-1739, ISSN 1432-1238

DOI: 10.1007/s00134-024-07662-7
PMID: 39377790

11 p, 1.1 MB

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