Environmental sustainability in neurointerventional procedures: a waste audit Shum, Pey Ling, Kok, Hong Kuan, Maingard, Julian, Schembri, Mark, Bañez, Ramon Martin Francisco, Van Damme, Vivienne, Barras, Christen, Slater, Lee-Anne, Chong, Winston, Chandra, Ronil V, Jhamb, Ashu, Brooks, Mark and Asadi, Hamed 2020, Environmental sustainability in neurointerventional procedures: a waste audit, Journal of neurointerventional surgery, vol. 12, no. 11, pp. 1053-1057, doi: 10.1136/neurintsurg-2020-016380. Attached Files Name Description MIMEType Size Downloads Title Environmental sustainability in neurointerventional procedures: a waste audit Author(s) Shum, Pey Ling Kok, Hong Kuan Maingard, Julian Schembri, Mark Bañez, Ramon Martin Francisco Van Damme, Vivienne Barras, Christen Slater, Lee-Anne Chong, Winston Chandra, Ronil V Jhamb, Ashu Brooks, Mark Asadi, Hamed orcid.org/0000-0003-2475-9727 Journal name Journal of neurointerventional surgery Volume number 12 Issue number 11 Start page 1053 End page 1057 Total pages 5 Publisher BMJ Publishing Group Place of publication England Publication date 2020-11 ISSN 1759-8478 1759-8486 Keyword(s) Science & Technology Life Sciences & Biomedicine Neuroimaging Surgery Neurosciences & Neurology Environmental sustainability neurointerventional procedures hospital waste angiography arteriovenous malformation coil intervention thrombectomy Summary Background Operating rooms contribute between 20% to 70% of hospital waste. This study aimed to evaluate the waste burden of neurointerventional procedures performed in a radiology department, identify areas for waste reduction, and motivate new greening initiatives. Methods We performed a waste audit of 17 neurointerventional procedures at a tertiary-referral center over a 3-month period. Waste was categorized into five streams: general waste, clinical waste, recyclable plastic, recyclable paper, and sharps. Our radiology department started recycling soft plastics from 13 December 2019. Hence, an additional recyclable soft plastic waste stream was added from this time point. The weight of each waste stream was measured using a digital weighing scale. Results We measured the waste from seven cerebral digital subtraction angiograms (DSA), six mechanical thrombectomies (MT), two aneurysm-coiling procedures, one coiling with tumour embolization, and one dural arteriovenous fistula embolization procedure. In total, the 17 procedures generated 135.3 kg of waste: 85.5 kg (63.2%) clinical waste, 28.0 kg (20.7%) general waste, 14.7 kg (10.9%) recyclable paper, 3.5 kg (2.6%) recyclable plastic, 2.2 kg (1.6%) recyclable soft plastic, and 1.4 kg (1.0%) of sharps. An average of 8 kg of waste was generated per case. Coiling cases produced the greatest waste burden (13.1 kg), followed by embolization (10.3 kg), MT (8.8 kg), and DSA procedures (5.1 kg). Conclusion Neurointerventional procedures generate a substantial amount of waste, an average of 8 kg per case. Targeted initiatives such as engaging with suppliers to revise procedure packs and reduce packaging, digitizing paper instructions, opening devices only when necessary, implementing additional recycling programs, and appropriate waste segregation have the potential to reduce the environmental impact of our specialty. Language eng DOI 10.1136/neurintsurg-2020-016380 Indigenous content off HERDC Research category C1 Refereed article in a scholarly journal Persistent URL http://hdl.handle.net/10536/DRO/DU:30141737 Document type: Journal Article Collections: Faculty of Health School of Medicine Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Fri, 11 Sep 2020, 14:58:04 EST Sat, 12 Sep 2020, 05:02:09 EST Sat, 09 Jan 2021, 01:37:03 EST Tue, 12 Jan 2021, 05:21:11 EST Wed, 10 Mar 2021, 11:43:23 EST Wed, 10 Mar 2021, 11:45:10 EST Wed, 10 Mar 2021, 15:10:48 EST Filtered Full Citation counts:   Cited 2 times in TR Web of Science Cited 3 times in Scopus Search Google Scholar Access Statistics: 9 Abstract Views, 0 File Downloads  -  Detailed Statistics Created: Fri, 11 Sep 2020, 14:58:04 EST

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