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Anaesthesia Waste Gases and Bioethics

Balancing Patient Care, Environmental Responsibility, and Occupational Safety

Bibliographic Data

ID19517118
AuthorsShibu Sasidharan (0000-0003-2991-7595, Department of Anaesthesiology and Critical Care, Emergency Medicine Base Hospital Delhi Cantt New Delhi India, corresponding author), Harpreet Dhillon (0000-0001-5956-874X, Department of Addiction Psychiatry Postgraduate Institute of Medical Education and Research Chandigarh India)
Year2025
Publication date2025-06-15
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueDeveloping World Bioethics (JOURNAL)
Journal identifiersISSN: 1471-8731 • E-ISSN: 1471-8847
PublisherWiley (PUBLISHER • GB)
DOI10.1111/dewb.12489
PMID40517413
OpenAlexW4411317518
LanguageEN
References cited41

Anaesthesia waste gases (AWGs) represent a significant yet often overlooked contributor to healthcare's environmental footprint, with implications extending beyond ecological concerns to encompass occupational hazards and complex ethical considerations. This article examines the intersection of AWGs and bioethics through the framework of environmental stewardship, occupational health principles, patient‐centered care, and distributive justice. Contemporary volatile anaesthetics possess global warming potentials thousands of times greater than carbon dioxide, while implicated occupational exposures raise concerns about reproductive health and neurological function among healthcare workers. The bioethical paradigms of principalism—encompassing nonmaleficence, beneficence, autonomy, and justice—and environmental ethics provide structured approaches to addressing these multifaceted challenges. This review synthesizes current evidence regarding AWGs' environmental and occupational impacts, evaluates emerging mitigation strategies, and proposes an integrated ethical framework to guide clinical practice, institutional policy, and professional standards in anaesthesiology

Autonomy · Beneficence · Bioethics · Business · Engineering ethics · Environmental ethics · Environmental health ethics · Health care · Political science · Politics · Climate Change and Health Impacts · Engineering · Healthcare cost, quality, practices · Law · Medicine · Psychology · Health Policy

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