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Item type:Publication, Carbon footprint, sustainability and anesthesia. We are beginning to learn(Sociedad de Anestesiologia de Chile, 2022-01-01)Human health has been negatively impacted by the difficult environmental conditions produced by climate change. The health industry, paradoxically, generates a carbon footprint (CF) that drives climate change and represents 9.8% of the greenhouse gas (GHG) emissions in the United States (2013) and 6.3% of CF in England (2017). A considerable portion of these emissions comes from the clinical practice of anesthesia. Anesthetic gases present global warming potentials (GWPs) of up to 3,714 times higher than CO 2 throughout their life cycles, from their manufacture and use to their disposal. In this context, this review compiled and assessed the environmental impacts of the anesthetic strategy in clinical practice, making use of the life cycle analysis tool. This review describes how the anesthetic technique has a major impact on CF, through the emission of GHG expressed through tools such as the GWP 100 . As an example, at the manufacturing stage, the GWP of halogenated gases is up to 2,540 kg CO 2 eq versus 21 kg CO 2 eq for Propofol. This and other variables determine the contribution of the anesthetic technique in the emission of GHG. Finally, this review aims to help health care providers make informed decisions when considering the CH and sustainability of each anesthetic technique. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 5R and hospital sustainability: Our contribution in the climate emergency. Part II. Rethink and research(Sociedad de Anestesiologia de Chile, 2022-01-01)Introduction: Climate change is a health problem and, at the same time, health systems are important contributors. Hospitals stand out due to their high rates of energy consumption, resources and waste generation. The purpose of the study is to know and identify the determinants of sanitary waste and the measures that can be implemented that allow reducing the production of hospital waste, seeking to achieve a general and updated appreciation of this phenomenon and taking into account hospital sustainability. Method: A bibliographic search was carried out in pubmed that included keywords related to the concepts of carbon footprint, recycling and hospital waste. The screening yielded a total of 37 articles and later 12 publications founded from references (or that were previously known by the authors) were added. Results: The results are presented into 5 points known as the “5 Rs”, named below. “Reduce” (through adequate segregation of waste, correct management of effluents and energy, significant reduction of excesses and automatic administration of anesthetic gases), “Reuse” (through device reprocessing, reusable material and donation), “Recycle”, “Rethink” (with examples such as selection of less polluting gases, selective use of containers, staff education) and “Investigate” through different models. Discussion: Several of the recognized measures could have an application in many hospital areas despite the fact that most of the available evidence refers to the operating room. The organization and education of the personnel is important in order to implement the measures found.1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 5R and hospital sustainability: Our contribution in the climate emergency. Part I. Reduce, reuse and recycle(Sociedad de Anestesiologia de Chile, 2022-01-01)Introduction: Climate change is a health problem and, at the same time, health systems are important contributors. Hospitals stand out due to their high rates of energy consumption, resources and waste generation. The purpose of the study is to know and identify the determinants of sanitary waste and the measures that can be implemented that allow reducing the production of hospital waste, seeking to achieve a general and updated appreciation of this phenomenon and taking into account hospital sustainability. Method: A bibliographic search was carried out in pubmed that included keywords related to the concepts of carbon footprint, recycling and hospital waste. The screening yielded a total of 37 articles and later 12 publications founded from references (or that were previously known by the authors) were added. Results: The results are presented into 5 points known as the “5 Rs”, named below. “Reduce” (through adequate segregation of waste, correct management of effluents and energy, significant reduction of excesses and automatic administration of anesthetic gases), “Reuse” (through device reprocessing, reusable material and donation), “Recycle”, “Rethink” (with examples such as selection of less polluting gases, selective use of containers, staff education) and “Investigate” through different models. Discussion: Several of the recognized measures could have an application in many hospital areas despite the fact that most of the available evidence refers to the operating room. The organization and education of the personnel is important in order to implement the measures found.1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Cradle-to-Grave Environmental Analysis of an Alpaca Fiber Sweater Produced in Peru(Elsevier B.V., 2023-12-20)Animal fibers are an important raw material for the fashion industry but have recently been discussed due to the environmental impacts related to their production. In order to provide scientific information for decision-making in the Peruvian alpaca sector a cradle to grave carbon footprint of one (01) wear of a 100 % alpaca fiber sweater has been conducted. For the modeling of the fiber procurement stage primary data regarding livestock management and annual production parameters were obtained from interviews with 42 Peruvian alpaca herders from the main producing regions in South and Central Peru. Data for the processing stages (spinning and dyeing, knitting and weaving) were collected by means of interviews and questionnaires from three alpaca fashion companies in Arequipa and Lima. The distribution, use, and end-of-life stages were modeled with secondary data. The resulting carbon footprint of one wear of the alpaca fiber sweater is 0.449 kg CO2 equivalents (CO2e). Most emissions occur during the lifecycle stages of fiber production and distribution (70 % and 14 % of CO2e emissions, respectively). Methane emissions from enteric fermentation account for 87 % of the impact within the fiber procurement stage. The environmental impacts during the distribution stage were dominated by retailing and road transport in the destination countries and export by air and sea (53.1 % and 46.4 % of carbon emissions in this stage, respectively). Other life cycle stages were found to be less relevant emission sources. The study concluded that the main strategies for impact mitigation should focus on improving the efficiency of the fiber procurement systems. Furthermore, several knowledge gaps have been identified and should be addressed by future research regarding methane emissions associated with the main co-products of the livestock systems, ecosystem services in the Andes and especially Andean wetlands and potential mitigation strategies of greenhouse gases related to different pasture management options. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Life cycle assessment of organic chocolate production in Peru(Elsevier BV, 2025-12-01)Limited studies have been conducted in Latin America related to the environmental profile of cocoa and chocolate production using Life Cycle Assessment (LCA). The current study conducts a cradle-to-gate LCA of the production of organic chocolate products in Peru, considering cocoa cultivation practices by a group of 21 female producers located in central Peru in the year 2022. Data were collected on-site at cultivation sites and processing plant using questionnaires with the technical staff. Beyond fossil and biogenic emissions linked to cultivation, transport of dried cocoa, and manufacturing activities at the chocolate producing plant, carbon capture on fields by cocoa and shading trees was modeled and included in the carbon balance. A total of 8 impact categories were selected, considering different environmental compartments. Results for global warming using the main scenario show a range of values from 4.33 kg CO 2 eq per kilogram of final chocolate product to 4.88 kg CO 2 eq. Most impacts are derived from the production of dry cocoa beans and, to a lesser extent, upstream sugarcane production. However, important differences were evident when the individual cocoa producers were analyzed, with agroforestry systems presenting lower greenhouse gas (GHG) emissions than cocoa monocrops. Regarding water scarcity, the activities at the chocolate processing plant were found to contribute more than water use at the cocoa cultivation sites. For other impact categories, toxicity emissions at the cultivation site were relatively low given the organic characteristics of the fields, which do not use conventional pesticides. The post-harvest management of the cocoa pods (i.e., composting) is a critical source of GHG emissions. Hence, adequate composting conditions maintain methane emissions low, but direct return of the pods to the field can generate a substantial increase in GHG emissions. Carbon sequestration from above ground biomass, mainly from shading and cocoa trees, appears to mitigate an important fraction of these emissions if shading is homogeneous and sufficiently dense across the fields. • A Life Cycle Assessment was conducted on the production of organic chocolate in Peru. • A group of 21 producers was sampled for organic cocoa practices in central Peru. • A full characterization of the biogenic carbon cycle in cultivation sites was modeled. • Global warming results show better results for agroforestry systems and cocoa pod husk composting practices. • Manufacturing stage impacts are dominated by water use, cooling agents and upstream sugar production.2