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

The Earth’s mean surface temperature is already approximately 1.1°C higher than pre-industrial levels. Exceeding a mean 1.5°C rise by 2050 will make global adaptation to the consequences of climate change less possible. To protect public health, anaesthesia providers need to reduce the contribution their practice makes to global warming. We convened a Working Group of 45 anaesthesia providers with a recognised interest in sustainability, and used a three-stage modified Delphi consensus process to agree on principles of environmentally sustainable anaesthesia that are achievable worldwide. The Working Group agreed on the following three important underlying statements: patient safety should not be compromised by sustainable anaesthetic practices; high-, middle- and low-income countries should support each other appropriately in delivering sustainable healthcare (including anaesthesia); and healthcare systems should be mandated to reduce their contribution to global warming. We set out seven fundamental principles to guide anaesthesia providers in the move to environmentally sustainable practice, including: choice of medications and equipment; minimising waste and overuse of resources; and addressing environmental sustainability in anaesthetists’ education, research, quality improvement and local healthcare leadership activities. These changes are achievable with minimal material resource and financial investment, and should undergo re-evaluation and updates as better evidence is published. This paper discusses each principle individually, and directs readers towards further important references.     

Prof. Pengfei Tu and Prof. Kewu Zeng have discovered the natural molecule glue bufalin

Prof. Pengfei Tu and Prof. Kewu Zeng have discovered the natural molecule glue bufalin.     

国际中医临床实践指南 慢性阻塞性肺疾病

慢性阻塞性肺疾病(COPD)是严重危害公众健康的重大慢性疾病。中医药防治COPD具有较好的临床疗效,并获得了一些显著成果。为进一步完善诊疗规范,促进中医诊治水平的提高,更好地指导慢阻肺中医临床诊疗工作,世界中医药学会联合会组织专家小组,在中华中医药学会2019年发布的《慢性阻塞性肺疾病中医诊疗指南》(标准号:T/CACM 1319-2019)基础上,评估最新海内外临床研究证据,修订转化形成《国际中医临床实践指南慢性阻塞性肺疾病》并进行双语发布。指南内容主要包括前言、引言、范围、规范性引用文件、术语和定义、疾病诊断分期、严重程度评估、病因病机、辨证论治、其他治法、预防调护、附录12个部分,规范了慢阻肺的中医病因病机、辨证论治、预防调护的内容。该指南适用于于中医、中西医结合临床呼吸内科医师。该指南发布将有助于提升中医药防治慢阻肺水平。