Webinar: Reducing Climate Change and Saving Money by Decommissioning Piped Nitrous Oxide

Moderators:

• Pui-San Loh (Malaysia)
• Vivian Ip (Canada)
• Jodi Sherman (USA)

Speakers:

• Seema Gandhi (India)
• Clifford Shelton (United Kingdom)
• Gwen Morgan (South Africa)

Learning Objectives

• Talk 1: N2O climate impacts, policy and practice – Clifford L Shelton
  
  This talk provides the foundation to:

1. Understand the environmental impacts of N2O.
2. Recognise the major sources of N2O waste and emissions.
3. Consider strategies to mitigate N2O-related emissions while maintaining excellent standards of patient care.

• Talk 2: Implementation challenges and opportunities from the perspective of high-income countries – Seema Gandhi 

At the end of the session, attendees should be able to:

1. Obtain the data required to calculate the discrepancy between clinical delivery and procurement to estimate nitrous oxide losses.
2. Identify the key team members in forming a multidisciplinary team and define the roles & responsibilities of each member.
3. Understand a step-by-step process of transition to a portable delivery system based on case studies from multiple health systems.

• Talk 3: Implementation challenges and opportunities from the perspective of low-income countries – Gwen Morgan
  
  This lecture aims to give the audience the following learning opportunities:

1. The importance of action in LMIC:
   • Environmental degradation and climate change are projected to affect these countries disproportionately.
   • Efficiency in resource-constrained settings.
   • Importance of avoiding fruitless expenditure.
2. Knowledge gaps:
   • Reliance upon N2O in LMIC.
   • Availability of alternatives.
   • Practice norms in LMIC.
   • N2O costs in LMIC.
   • Practicalities of adopting POC cylinders (anaesthetic machine compatibility, local regulations, local availability of E-cylinders, cost implications of smaller cylinder sizes, road transport of N2O).