
PROMOTING SUSTAINABLE ANESTHESIA
LEARN MORE ABOUT SUSTAINABLE
ANESTHESIA ON OUR WEBSITE:
For cases using inhalational anesthesia, ensure that desflurane
has been turned off in favor of sevoflurane or isoflurane
CO2 absorbents are free of strong bases (NaOH, KOH)
The minimum fresh gas flow has been estimated using an
accredited formula or simulation software
• Minimize fresh gas flow
• Avoid nitrous oxide unless clinically preferred
• Set the vaporizer to deliver a concentration greater than
intended
• Closely monitor O2, CO2, and anesthetic concentrations while
delivering gas at minimum FGF
• During intubation, leave the fresh gas flow off/ vaporizer on
• Pediatric Induction:
• Limit nitrous oxide unless medically necessary
• Incorporate IV anesthetics
• Minimize fresh gas flow for the duration of induction
• For a sevoflurane mask induction, use distraction
techniques such as electronic media, conversation, and
premedication
PRE-OPERATIVE CHECKLIST
MAINTENANCE REMINDERS
INDUCTION REMINDERS