Should anesthesiologists worry about climate change exposure in patients? A scoping review - 06/06/24

Doi : 10.1016/j.joclim.2024.100328

Nikhila Yerabandi ^a , Jenny H. Chang ^b,^⁎ , Kimberly P. Woo ^b , Mary Schleicher ^c , Ilyssa O. Gordon ^d , Benjamin T. Miller ^b , Ursula Galway ^e
^a Case Western Reserve University, School of Medicine, 9501 Euclid Ave, Cleveland, OH 44106
^b Cleveland Clinic, Department of General Surgery, 9500 Euclid Ave, Cleveland, OH 44195
^c Cleveland Clinic Floyd D. Loop Alumni Library, 9500 Euclid Ave, Cleveland, OH 44195
^d Cleveland Clinic, Department of Pathology and Cleveland Clinic, Sustainability, 9500 Euclid Ave, Cleveland OH 44195
^e Cleveland Clinic, Department of Anesthesiology, 2049 East 100th St, Cleveland, OH 44106

^⁎Correspondence: Jenny H. Chang, 216-906-4236, 9500 Euclid Ave A100, Cleveland, OH 441959500 Euclid Ave A100ClevelandOH44195

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Abstract

Introduction

The healthcare industry, especially anesthesia, is a significant contributor of greenhouse gas emissions; however, we do not know whether climate change affects anesthesia outcomes. Our objective was to assess the current understanding of the effects of climate change on anesthesia outcomes.

Methods

We performed a comprehensive search of all literature on pediatric and adult anesthesia outcomes as a result of climate change and related extreme weather events.

Results

Our search yielded 4,702 articles, out of which one met our inclusion criteria. The relevant study in our final analysis focused on adverse pediatric anesthesia outcomes after wildfire smoke exposure and found that patients with a history of reactive airway disease were at a higher risk of an adverse anesthesia outcome when exposed to unhealthy air.

Conclusions

The current research on the impact of climate change on anesthesia outcomes is extremely scarce. Climate change has many effects on various organ systems, and, especially in conjunction with comorbidities, may affect anesthesia outcomes. Further research is needed to better understand perioperative complications related to climate change that can affect the health of patients requiring anesthesia.

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Keywords : anesthesia, climate change, anesthesia outcomes, unhealthy air, wildfire smoke, comorbidities