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Monday

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6 comments to Monday

  • #
    David Maddison

    Wokeness and climate delusions affect the medical profession just as badly as any other element of society.

    Within the anaesthetics profession there is a push by some to ban the anaesthetic agent desflurane because it is supposedly an especially powerful greenhouse gas.

    This happens to be a very useful and effective agent which many anaesthetists prefer because of its fast recovery times and other advantages.

    However many woke Australian hospitals have banned, want to ban, or discourage its use because of its supposedly destructive greenhouse effects.

    E.g.

    https://catag.org.au/wp-content/uploads/CATAG-Position-Statement-on-the-formulary-listing-of-desflurane-FINAL.pdf

    https://aci.health.nsw.gov.au/ie/projects/reducing-the-use-of-desflurane

    https://greenhospitals.org/news/new-case-study-australia-reducing-environmental-impact-anaesthesia

    https://www.sjog.org.au/news-and-media/media-releases/2024/environment-the-big-winner-in-national-decision-by-st-john-of-god-health-care

    Beyond that, they have invented a new reason to ban it. Supposedly because it and one of its degradation by-products is a “forever chemical” meaning it’s (supposedly) persistent in the environment for a very long time.

    Surely if it’s stable in the environment it means it’s relative unreactive so should do little harm? Stability means little or no chemical reaction?

    E.g. see the following paper:

    “Environmental harm from anaesthesia: the importance of clinical realism and chemical persistence”

    https://www.bjaopen.org/article/S2772-6096%2825%2900114-5/fulltext

    Sevoflurane, desflurane, and isoflurane are all fluorinated compounds that meet PFAS criteria: by definition, they contain at least one fully fluorinated carbon and are highly stable, mobile, and resistant to degradation.7 As such, they contribute not only to global warming, but also to very significant chemical pollution.

    Upon atmospheric release, these agents degrade to trifluoroacetic acid (TFA), a terminal PFAS that accumulates in rainwater and surface water globally.7

    The current global mean surface temperature anomaly is already approximately 1.36°C above pre-industrial levels. This means the margin remaining before reaching the critical 1.5°C threshold is much narrower than implied. The climate crisis is a present emergency and mitigation is urgently required, particularly in high-impact domains such as volatile anaesthesia.

    The paper doesn’t actually prove any harm, however.

    And modern chemical analysis equipment can detect vanishingly small quantities of substance so just because something is detectable doesn’t mean it’s bad.

    I’m interested in people’s thoughts on this and any refutation or confirmation you might offer.

    My anaesthetist friend is very concerned that one of his favourite anaesthetic agents will become unavailable everywhere, as it already is at some of the hospitals where he works.

    40

    • #
      TdeF

      300,000 people drown each year. Ban water.

      1 million people die each year from car accidents. Ban cars.

      3 million people each year die from the effects of obesity. Ban food.

      Worst of all, life itself is a sexually transmitted invariably fatal disease. Governments and doctors know this and yet it is permitted, supported and encouraged. Unconscionably.

      Everything is deadly. Deadly needs to be quantified on risk benefit.

      But rapid Global Warming is to be stopped at all costs. Look what happened to the dinosaurs. 150 million year and all we have left is chicken.

      50

      • #
        Just Thinkin'

        I wonder how many people die because of decisions made by Politicians an Bureaucrats?
        BAN Politicians and Bureaucrats !!!!!

        Over 800 because of directives by DDD and his tail-coat hanger-ons.

        00

      • #
        TdeF

        Also survivors of the end of dinosaurs are crocodiles and sharks. In places both banned and protected based on risk and benefit. And both served as main courses in Australia.

        20

    • #
      John F. Hultquist

      “.. before reaching the critical 1.5°C threshold ..”
      In 1947 a talk-song by Carson Robison was released and became very popular, titled “Life Gits Tee-Jus Don’t It”
      There is no critical 1.5°C threshold and saying so is well past Tee-Jus.

      Whether it is about desflurane or some other chemical used in small amounts (burping cattle), the harm – if any – is unmeasurable regarding climate. Tiresome, boring, tedious.

      30

    • #

      It’s a classic tactic of industry to seek to ban chemicals that are approaching their patent protection … thus forcing people to have to use less effective newer alternatives that have patent protection. A classic is refrigerants.

      00

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