The Earth’s mean surface temperature is already approximately 1.1°C higher than pre-industrial levels. Exceeding a mean 1.5°C rise by 2050 will make global adaptation to the consequences of climate change less possible. To protect public health, anaesthesia providers need to reduce the contribution their practice makes to global warming. We convened a Working Group of 45 anaesthesia providers with a recognised interest in sustainability, and used a three-stage modified Delphi consensus process to agree on principles of environmentally sustainable anaesthesia that are achievable worldwide. The Working Group agreed on the following three important underlying statements: patient safety should not be compromised by sustainable anaesthetic practices; high-, middle- and low-income countries should support each other appropriately in delivering sustainable healthcare (including anaesthesia); and healthcare systems should be mandated to reduce their contribution to global warming. We set out seven fundamental principles to guide anaesthesia providers in the move to environmentally sustainable practice, including: choice of medications and equipment; minimising waste and overuse of resources; and addressing environmental sustainability in anaesthetists’ education, research, quality improvement and local healthcare leadership activities. These changes are achievable with minimal material resource and financial investment, and should undergo re-evaluation and updates as better evidence is published. This paper discusses each principle individually, and directs readers towards further important references.

中文翻译：

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环境可持续麻醉原则：世界麻醉医师协会联合会的全球共识声明

地球的平均表面温度已经比工业化前水平高出约 1.1°C。到 2050 年平均升温超过 1.5°C 将使全球适应气候变化后果的可能性降低。为了保护公众健康，麻醉提供者需要减少他们的实践对全球变暖的贡献。我们召集了一个由 45 名对可持续性具有公认兴趣的麻醉提供者组成的工作组，并使用三阶段改进的 Delphi 共识流程就可在全球范围内实现的环境可持续麻醉原则达成一致。工作组就以下三个重要的基本声明达成一致：患者安全不应因可持续的麻醉实践而受到损害；高的-，中低收入国家应在提供可持续医疗保健（包括麻醉）方面适当相互支持；医疗保健系统应该被授权减少它们对全球变暖的贡献。我们制定了七项基本原则来指导麻醉提供者转向环境可持续的实践，包括：药物和设备的选择；尽量减少浪费和过度使用资源；解决麻醉师教育、研究、质量改进和当地医疗保健领导活动中的环境可持续性问题。这些变化可以用最少的物质资源和金融投资来实现，并且应该在更好的证据发布时进行重新评估和更新。本文分别讨论了每条原则，并指导读者阅读更多重要的参考资料。