Beta — Some information may be incomplete or inaccurate. We're actively improving the Atlas.
Reusable and reprocessed anesthesia breathing circuits cover image

Reusable and reprocessed anesthesia breathing circuits

MitigationScope 3🏥Anesthesia
Difference MakerDifference Maker (>50 tCO₂e or 1-3 tCO₂e per primary practice)
Climate Impact
Financial Impact
SavingsCA$40,000
MethodologyAnnual financial savings generated from eliminating single-use anesthesia circuits and replacing them with reusable circuits (saving over 8,000 disposable circuits and 1.45 tonnes of plastic yearly). From Dr. Catherine Lavallée’s award-winning initiative at the CISSS de la Montérégie-Centre (Charles-Le Moyne Hospital)
ROIImmediate
Implementation Feasibility
Investment
Low
Team Size
Large team
Timeline
6–12 months
Suggest a resource

Hospitals That Have Already Implemented This Solution

The Problem

Single-use anesthesia breathing circuits generate considerable plastic medical waste and upstream greenhouse gas emissions from constant item disposal after every patient procedure. This initiative addresses outdated provincial guidelines and lack of consensus that previously mandated discarding single-use or disposable plastic circuits after a single patient use.

The Solution

https://www.linkedin.com/posts/r-seau-d-action-pour-la-sant-durable-du-qu-bec-rasdq_prixaezlan-santaezdurable-innovation-activity-7427448851998920704-nPId?utm_source=share&utm_medium=member_desktop&rcm=ACoAABM8cWgBd0f_otAwJHBWst19KDh2yWYA5Zk This initiative was part of the 2025 Élan Awards and won the 2025 Élan Award, led by Dr. Catherine Lavallée at Charles-Le Moyne Hospital (CISSS de la Montérégie-Centre). Implementing extended-use or reprocessed anesthesia breathing circuits combined with bacterial/viral filters, allowing systems to safely remain in service across multiple patients for up to 7 days rather than being discarded immediately.

Canadian Coalition for Green Health Care logo

This solution is featured by the Canadian Coalition for Green Health Care

Learn more about this solution in the Coalition's Green Health Care Guidebook.

Barriers
Outdated infection control guidelines
Local infection prevention resistance
Strict single-use manufacturer norms
Resistance to workflow changes
Enablers
- 2025 Élan Award recognition and funding - Updated provincial INSPQ safety recommendations - Strong clinical leadership and multidisciplinary teamwork - Proven institutional cost and waste savings - Ministry of Health policy support
Co-Benefits
Lower material procurement costs
Decreased solid medical waste
Reduced plastic environmental footprint
Lower scope 3 emissions
Reduced incineration burden
Implementation Steps
Suggest a resource
References & Evidence
Association between reusable anesthesia circuits and hospital waste reduction, cost savings, and environmental impact: A quality improvement study
Reference document
https://onlinelibrary.wiley.com/doi/10.1002/pan.70105
Reference document
Anesthesia Equipment and Supplies: Greening the Operating Room and Perioperative Arena
Reference document
Suggest a resource
Toolkit
CASCADES Sustainable Perioperative Care Playbook, BC Non-Hospital Medical Facilities Reprocessing Standard, CADTH Submicron Filter Infection Risk Assessment, Ontario’s Anesthesiologists Environmental Sustainability Extended and Reusable Anesthesia Breathing Circuit, Reusable Anesthesia Breathing Circuits Reference Document
Tool / Resource
Loading comments and questions...