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Phasing-out Desflurane cover image

Phasing-out Desflurane

Remove desflurane from operating rooms. Safe, effective, and less-costly alternatives exist including sevoflurane or total intravenous anesthesia (TIVA).

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Impact Summary
Mitigation
Scope 1
🏥Anaesthesia

Climate Impact

539 tCO₂e
Absolute GHG Reduction
Local Impact56,909 tCO₂e/year
National Impact153,403 tCO₂e/year

Organizational Value

ROIImmediate
Financial ImplicationsLow Saving ($0-$25,000)
Implementation Status
Widespread
Impact Level
The Problem

Desflurane has the highest global warming potential among anesthetic gases at 2500x more than carbon dioxide. Using just one bottle of desflurane is equivalent to burning 440kg of coal. Among other inhaled anesthetics, desflurane also has the lowest clinical potential, requiring higher concentrations to achieve the same effect.

The Solution

Remove desflurane from operating rooms. Safe, effective, and less-costly alternatives exist including sevoflurane or total intravenous anesthesia (TIVA).

Emissions Reduction Potential
Local Impact
56,909 tCO₂e
National Impact
153,403 tCO₂e
Co-Benefits
Quick Easy Win | Cost savings | Improved Indoor Air Quality | No Loss of Care Quality | Sustainability leadership | Reduced Waste Management
Implementation Considerations

Barriers

Potential clinician resistance and perceived clinical preference| Training gaps| Procurement inertia

Enablers

Leadership support | Education & training | Policy alignment | Cost incentives | Peer champions | Desflurane cassette removal
Implementation Experts
Financial Impact

Financial Implications

Low Saving ($0-$25,000)

Solution Savings
CA$30,510

Methodology

First Year

GHG Reduction (Annual)
539 tCO₂e
Absolute GHG Reduction
Local Impact
56,909 tCO₂e
National Impact
153,403 tCO₂e
References & Evidence
CASCADES' Anesthetic Gases Primer
Reference document
POWER Wellbeing: National Campaign to Phase-out Desflurane in Canada
Reference document
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