| CTRI Number |
CTRI/2025/03/081900 [Registered on: 07/03/2025] Trial Registered Prospectively |
| Last Modified On: |
06/03/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Observational |
|
Type of Study
|
Prospective, non interventional, single centre observational study |
| Study Design |
Other |
|
Public Title of Study
|
To study the effect of Carbon dioxide emissions in Anaesthesia |
|
Scientific Title of Study
|
Quantifying the carbon footprint of anaesthesia - A way forward |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Vandana Agarwal |
| Designation |
Professor |
| Affiliation |
Tata Memorial Hospital |
| Address |
Department of anaesthesia critical care and pain, 2nd floor, Main Building, Tata Memorial Hospital, Dr E Borges marg, Parel Mumbai
Mumbai
MAHARASHTRA
400012
India |
| Phone |
02241770004042 |
| Fax |
|
| Email |
vandanachaukar@hotmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr Vandana Agarwal |
| Designation |
Professor |
| Affiliation |
Tata Memorial Hospital |
| Address |
Department of anaesthesia critical care and pain, 2nd floor, Main Building, Tata Memorial Hospital, Dr E Borges marg, Parel Mumbai
Mumbai
MAHARASHTRA
400012
India |
| Phone |
02241770004042 |
| Fax |
|
| Email |
vandanachaukar@hotmail.com |
|
Details of Contact Person
Public Query
|
| Name |
Abhishek Gururaj Deshpande |
| Designation |
Junior resident |
| Affiliation |
Tata Memorial Hospital |
| Address |
Department of anaesthesia critical care and pain, 2nd floor, Main Building, Tata Memorial Hospital, Dr E Borges marg, Parel Mumbai
Mumbai
MAHARASHTRA
400012
India |
| Phone |
02241770004042 |
| Fax |
|
| Email |
abhishekdeshpande316@gmail.com |
|
|
Source of Monetary or Material Support
|
| Tata Memorial Hospital, Dr E Borges Road, Parel, Maharashtra- 400012 |
|
|
Primary Sponsor
|
| Name |
Tata Memorial Hospital |
| Address |
Dr Ernest Borges road, Parel East, Parel, Mumbai, Maharashtra, 400012 |
| Type of Sponsor |
Research institution and hospital |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Vandana Agarwal |
Tata Memorial Hospital |
Department of Anaesthesia, Critical care and Pain, 2nd floor, OT complex and recovery area, Main Building, Tata Memorial Hospital, Dr E Borges marg, Parel Mumbai
Mumbai
MAHARASHTRA |
02224177042
vandanachaukar@hotmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Tata Memorial Hospital |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: C00-D49||Neoplasms, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Nil |
Not applicable |
| Comparator Agent |
Nil |
Not applicable |
|
|
Inclusion Criteria
|
| Age From |
1.00 Month(s) |
| Age To |
99.99 Year(s) |
| Gender |
Both |
| Details |
All patients operated during the study period in ORs 1,4, 6, and 10. |
|
| ExclusionCriteria |
| Details |
If more than 50 percent of data is missing per procedure and cannot be retrieved from hospital
EMR. Data for these procedures will be excluded from analysis. |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
To quantify the carbon emission of various anaesthetic agents and techniques used
during surgery. |
At the end of each surgery |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1. To evaluate the total environmental impact (GWP 100) of anaesthesia, energy
consumption in operating rooms (during anaesthesia, and for processing of linen and
other reusable items and biomedical waste).
2. To evaluate the cost of anaesthesia.
3. To identify opportunities for minimizing greenhouse gas emissions. |
At the end of the study |
|
|
Target Sample Size
|
Total Sample Size="250"
Sample Size from India="250"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
17/03/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1"
Months="0"
Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
The carbon footprint of anaesthesia refers to the environmental impact of anaesthetic gases and materials used in medical procedures. Certain anaesthetic gases are greenhouse gases, contributing to climate change and single use materials generate significant waste. Reducing the carbon footprint in anaesthesia can help make healthcare more sustainable without compromising patient care and safety. As healthcare moves towards sustainability, understanding the specific carbon contributions of different medical practices is essential. There is limited research quantifying the carbon footprint of anaesthesia practices. There is no study that has addressed carbon footprint of anaesthesia practice in India. Therefore, this study seeks to fill the knowledge gap by conducting a comprehensive assessment of the environmental impact of anaesthesia and identify opportunities for reducing GHG emissions without compromising patient care and safety. This is an prospective, non-interventional observational with study duration of 2 months. Energy consumption of various gases, medications, consumables, single use and reusable devices/ linen, and energy consumption for each anaesthesia workstation and related sources and carbon dioxide emission will be calculated using standard emissions factor. In addition, this study will help identify opportunities for minimising greenhouse gas emission and thus play a small but positive role towards minimising climate change. |