Links to Helpful Resources

CAS Guidelines to the Practice of Anesthesia

We are proud of our members for their continued leadership of and contributions to innovative, safe and sustainable care. Members of our Environmental Sustainability Working Group provided input to help the Canadian Anesthesiologists’ Society (CAS) Committee on Standards develop a new Guidelines for Environmental Sustainability section of the 2023 Revised Edition of the Guidelines to the Practice of Anesthesia. The CAS Guidelines to the Practice of Anesthesia - Revised Edition 2024 are now available and continue to include the Guidelines for Environmental Sustainability.

CASCADES Sustainable Perioperative Care Playbook

We are grateful to the many members of our Environmental Sustainability Working Group who contributed to the development of the CASCADES Sustainable Perioperative Care Playbook, which is the definitive Canadian resource for environmental initiatives in the OR.  

Videos

The Way Forward is Reusable

We invite you to watch the video below by the Canadian Coalition for Green Health Care, which features Environmental Sustainability Working Group volunteers Dr. Anita Rao, Ed Rubinstein and Dr. David Ohrling.

Ask Ontario Doctors: Climate Change and Health

OMA President Dr. Andrew Park was joined by Dr. Gili Adler Nevo, co-chair of the OMA’s Green is Health medical interest group and a psychiatrist at Toronto’s Michael Garron Hospital and Dr. David Ohrling, chief of the Department of Anesthesiology at Collingwood General and Marine Hospital, to discuss the impact of climate change on health.

Greening the Operating Room

In this video from CASCADES, our Environmental Sustainability Working Group lead Dr. Anita Rao and member Dr. Peter Menikefs discuss environmentally sustainable anesthetic practices.

Resources for Greening Your Practice

ASA: Greening the Operating Room and Perioperative Arena: Environmental Sustainability for Anesthesia Practice

CAS: Environmentally Sustainable Perioperative Medicine: Simple Strategies for Anesthetic Practice

Choosing Wisely Climate-Conscious Recommendations

The Canadian Coalition for Green Health Care’s Green Hospital Scorecard

The Canadian Coalition for Green Health Care’s Green Pages

The Canadian Coalition for Green Health Care’s Health Care Facility Climate Change Resiliency Toolkit

The Canadian Coalition for Green Health Care: Nix the Nitrous

WHO guidance for climate resilient and environmentally sustainable health care facilities

In the Media

‘We have to be part of the solution’: Climate change leading Simcoe County hospitals to reduce their carbon footprint | Simcoe.com 

Dr. David Ohrling, chief of the department of anesthesiology at Collingwood General and Marine Hospital (CGMH), says the health-care industry needs to help mitigate climate change.

Ontario Morning from CBC Radio with Ramraajh Sharvendiran | CBC Ontario Morning 

Environmental Sustainability Working Group volunteer Dr. David Ohrling talks about creating a more sustainable health-care system.

Ontario Medical Association calls for action on climate change | Sudbury.com 

Dr. David Ohrling discusses reducing the impact of anesthetic gases and addressing the current practice in operating rooms of relying on single-use medical devices and supplies.

Major B.C. trauma hospital switches anesthetic gas to reduce carbon footprint | CBC News

Ontario anesthesiologist and Environmental Sustainability Working Group volunteer Dr. Sanjiv Mathur is featured in this article.

How some doctors want to cut greenhouse gas emissions in the operating room | CBC News

Dr. Nam Le, an Ontario anesthesiologist and former Executive Committee member, makes an appearance in this clip for CBC’s The National.

Why hospitals are beginning to reuse or recycle oxygen masks, IV bags, surgical tools they used to throw out | CBC News

Doctors, companies are finding ways to reuse or recycle more medical supplies.

Hospitals are finding new ways to reduce medical waste | CBC News

Ontario anesthesiologist and Environmental Sustainability Working Group volunteer Dr. Ali Abbass shows how they're reducing operating room waste at St. Joseph's Health Centre in Toronto.

Additional Resources

2021 WHO Health and Climate Change Survey Report

ANZCA Library Guide - Environmental Sustainability

Association of Anaesthetists - Special Issue: Sustainable healthcare, climate science and the anaesthetist

Environment and Sustainability Statement from the Common Issues Group Partners

Our Role in the Climate Emergency: Do we have the ‘energy’ to make a difference?

PAHO’s Climate Change and Health Program

Principles of environmentally-sustainable anaesthesia: a global consensus statement from the World Federation of Societies of Anaesthesiologists

PVC 123

Stryker Sustainability Systems