Sustainability in the Surgical Center Scenario: Literarura review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i4.14408

Keywords:

Medical Waste; Sustainable Development; Surgicenters.

Abstract

The Objective: Analyze information about sustainability in the operating room, identifying sustainability strategies. Methodology: Integrative literature review, literature, systematized by the acronym Participant, Interest and Context, according to the PICo strategy and procedures defined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). The databases consulted were: Regional Portal of the Virtual Health Library, LILACS, in the National Library of Medicine's PubMed Medline; Capes Journals Portal: CINAHL (Ebsco), EMBASE (Elsevier), Scopus (Elsevier), Web of Science (Clarivaty Analytics). Publications in Portuguese, English and Spanish were considered without restrictions on the year of publication. Six studies were selected for analysis. Results: The selected studies pointed to sustainability in the operating room in four aspects: waste disposal, anesthetic techniques, use of electrical energy, use of disposable or reusable material. They were published in the period between 2018 and 2020. Descriptive studies produced in the United States, Canada, France and China. Conclusion: The operating room is an important source of aggression to the environment, whether by generating waste or consuming energy. The environmental sustainability proposals applied to the operating room come from individual actions such as riding a bicycle or walking to work. Regarding anesthetic techniques, the use of low flow anesthesia and the use of total intravenous anesthesia are sustainable options. Other sustainable measures include the use of reusable surgical gowns, waste monitoring, donation of batteries, unused medical equipment and supplies for medical missions; night shutdown of anesthesia machines and other equipment.

References

Brasil. (2004). RDC nº 306/04, de 07 dez 2004. Dispõe sobre o regulamento técnico para o gerenciamento de resíduos de serviços de saúde. https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2004/res0306_07_12_2004.html

Brasil. Ministério da Saúde. (2006). Agência Nacional de Vigilância Sanitária. Manual de gerenciamento de resíduos de serviços de saúdeMinistério da Saúde.

Carvalho, P. A., Göttems, L. B. D., Pires, M. R. G. M & Oliveira, L. M. C. (2015). Safety culture in the operating room of a public hospital in the perception of healthcare professionals. Rev Latino-Am Enfermagem, 23(6):1041-8.

Castro, L. C. O custo de desperdício de materiais de consumo em um Centro Cirúrgico. Tese de Doutorado. São Paulo (SP): Escola de Enfermagem, Universidade de São Paulo; 2012. 123 p.

Dias, R. Sustentabilidade: origem e fundamentos; educação e governança global; modelo de desenvolvimento. Atlas, 2015. p. 10-14.

Dönmez,Y. C., Aslan, A., Van Giersbergen, M. Y. (2019). Environment-Friendly Practices in Operating Rooms in Turkey. J Nurs Res. 27(2):e18

Froehlich, C; BitencourT, C; Nodari, C; Figueiró, P. Inovação sustentável em uma organização de saúde. Desenvolvimento em questão. https://doi.org/10.21527/2237-6453.2018.44.417-447

Galvão, T. F., Pansani, T. S. A., Harrad D., Principais itens para relatar revisões sistemáticas e meta-análises: a recomendação PRISMA. Epidemiol Serv Saúde. 24(2):335-41. https://doi.org/10.5123/S1679-49742015000200017

Gordon, D. (2020). Sustainability in the Operating Room: Reducing Our Impact on the Planet. Anesthesiol Clin; 38(3): 679-92.

Hall, J.; Vrendenburg, H. The challenges of innovations for sustainable development. Sloan Management Review, 45(1), 61-68

Joanna Briggs Institute; University of Adelaide. (2014). Joanna Briggs Institute Reviewers’ Manual: 2014 edition [Internet]. Australia: University of Adelaide.

Moreno, G. S. B., Calcedo, J. G. S., González, A. G. Salgado, D. R. (2019). Sustainable solutions for thermal energy saving in hospital operating theatres. E3S Web of Conferences. 85, 01002.

Nogueira, D. N. G. & Castilho, V. (2016). Resíduos de serviços de saúde: mapeamento de processo e gestão de custos como estratégias para sustentabilidade em um centro cirúrgico. REGE, 23:362–74.

Petre, M. A., Bahrey, L., Levine, M., Van Rensburg, A., Crawford, M., Matava, C. (2019). A national survey on attitudes and barriers on recycling and environmental sustainability efforts among Canadian anesthesiologists: an opportunity for knowledge translation. Can J Anesth. 66, p.272–86.

Peres, R. R., Camponogara, S., Costa, V.Z., Terra, M.G., & Nietsche, E.A. (2015). Educação ambiental para docentes enfermeiros: percepção e relação com a formação do enfermeiro. Rev Gaúcha Enferm,36, 85-93.

Pinter, M. G. & Jardim, D. P. (2014). Segregação e diminuição de resíduos sólidos no bloco cirúrgico: uma experiência bem-sucedida. Rev. SOBECC, 19(4):226-32.

Roberto, H. F. F.; Cava, A. M. L. Hospital sustentável ambientalmente: reflexões para a gestão do projeto. Revista Acreditação: ACRED, 5(9), 114-132

Silva, R. R., Silva, L. A, Silva, M. V. G., Neves, M. P., Silva, M. M. S, & Francisco, M. T. R. (2019). Os Impactos do Chemsex na saúde pública mundial: um estudo sobre uma perigosa prática sexual entre homens. Rev Saúde Coletiva Barueri. (2) 51 1920-5. https://doi.org/10.36489/saudecoletiva.2019v9i51p1920-1925.

Silva, R.R., Neves, M. P., Silva, L. A., Silva, M. V. G., Hipolito, R. L., & Marta, C. B. (2020). Consumo de drogas psicoativas em contexto sexual entre homens gays como fator de risco para transmissão de HIV/Aids. Glob Acad Nurs. 1(3):e57. https://dx.doi.org/10.5935/2675-5602.20200057

Silveira, A. H. Avaliação do potencial de conservação de energia no setor hospitalar da região sul do Brasil. Dissertação (Mestrado em Engenharia Elétrica) – Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, 2008.

Silva, R. R. da, Silva, L. A. da, Souza, M. V. L., Silva, M. V. G. da., Neves, M. P. das., Vargas, D. de, Hipolito, R. L.., Souza, D. A. C., Dutra, V. de C. de A., Oliveira, E. S. de, Lipari, C. da C., Garcia, W., Cortes, T., & Mattos, C. M. . (2021). Minority gender stress and its effects on mental health as a risk factor for depression in transgender persons: Literature review. Research, Society and Development, 10(3), e51610313693. https://doi.org/10.33448/rsd-v10i3.13693

Silva, L. A. da., Soares, J. P. A., Silva, L. F. da, Silva, R. R. da, Araújo, M. S.., Silva, M. V. G. da., Oliveira, E. S. de., Mesquita, L. M. F. de., Alencar, Ícaro F. de, Dutra, V. de C. de A.., Silveira, M. B.., Norbiato, V. do N. de P.., Silveira, M. L. F. G. da., Souza, M. das G. G. de., Souza, D. A. C.., Barbosa, I. de S. F.., Mendonça, C. de F. de S., Duque, E. da S., Oliveira, J. V. E., & Silva, S. F. M. . (2021). Pandemics and their social repercussions throughout history associated with the new SARS-COV-2: A review study. Research, Society and Development, 10(3), e59110313783. https://doi.org/10.33448/rsd-v10i3.13783

Souza, M. V. L. de., Silva, R. R. da, Oliveira, M. C. P. de., Silva, L. A. da., Silva, M. V. G. da., Vargas, D. de, Hipólito, R. L., Souza, M. das G. G. de., Silveira, M. L. F. G. da., Mesquita, L. M. F. de., Araújo, M. S., Ignácio, L. P., Fontes, T. V., Alencar, Ícaro F. de., Souza, D. A. C., Oliveira, J. V. E., Neves, M. P. das., Pereira, A. V., Soares Filho, M. O., & Dutra, V. de C. de A. . (2021). Access to PrEP by cisgender mens and transsexual person: A qualitative study. Research, Society and Development, 10(1), e44310111843. https://doi.org/10.33448/rsd-v10i1.11843

Thiel, C. L., Woods, N. C., Bilec, M. M. (2018). Strategies to Reduce Greenhouse Gas Emissions from Laparoscopic Surgery. Am J Public Health. 108 (S2):S158-S164.

Vozzola, E., Overcash, M., Griffing, E. (2020). An Environmental Analysis of Reusable and Disposable Surgical Gowns. AORN J. 111(3):315-25.

White Hughto, J. M., Clark, K. A., Altice, F. L., Reisner, S. L., Kershaw, T. S., & Pachankis, J. E. (2018). Creating, reinforcing, and resisting the gender binary: A qualitative study of transgender women’s healthcare experiences in sex-segregated jails and prisons. International Journal of Prisoner Health, 14(2), 69–88. https://doi.org/10.1108/IJPH-02-2017-0011

White Hughto, J. M., Pachankis, J. E., Willie, T. C., & Reisner, S. L. (2017). Victimization and depressive symptomology in transgender adults: The mediating role of avoidant coping. Journal of Counseling Psychology, 64(1), 41–51. https://doi.org/10.1037/cou0000184

White Hughto, J. M., Reisner, S. L., & Pachankis, J. E. (2015). Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions. Social Science & Medicine (1982), 147, 222–231. https://doi.org/10.1016/j.socscimed.2015.11.010

Wilson, E. C., Chen, Y.-H., Arayasirikul, S., Raymond, H. F., & McFarland, W. (2016). The Impact of Discrimination on the Mental Health of Trans*Female Youth and the Protective Effect of Parental Support. AIDS and Behavior, 20(10), 2203–2211. https://doi.org/10.1007/s10461-016-1409-7

Wood, S., Gross, R., Shea, J. A., Bauermeister, J. A., Franklin, J., Petsis, D., Swyryn, M., Lalley-Chareczko, L., Koenig, H. C., & Dowshen, N. (2019). Barriers and Facilitators of PrEP Adherence for Young Men and Transgender Women of Color. AIDS and behavior, 23(10), 2719–2729. https://doi.org/10.1007/s10461-019-02502-y

Yang, M.-F., Manning, D., van den Berg, J. J., & Operario, D. (2015). Stigmatization and Mental Health in a Diverse Sample of Transgender Women. LGBT Health, 2(4), 306–312. https://doi.org/10.1089/lgbt.2014.0106

Zhang, Y., Akl, E. A. & Schünemann, H. J. (2018). Using systematic reviews in guideline development: the GRADE approach. Res Synth Methods. https://doi.org/10.1002/jrsm.1313

Published

23/04/2021

How to Cite

ALMEIDA, M. T. de .; SOUZA, T. S. B. de .; SILVA, M. V. G. da .; SILVA, L. A. da .; OLIVEIRA, E. S. de .; SILVA, R. R. da. Sustainability in the Surgical Center Scenario: Literarura review. Research, Society and Development, [S. l.], v. 10, n. 4, p. e55110414408, 2021. DOI: 10.33448/rsd-v10i4.14408. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/14408. Acesso em: 21 nov. 2024.

Issue

Section

Health Sciences