Anaesthesia is essential for ensuring patient comfort and safety during medical procedures. However, its use has several environmental implications. The administration of inhalational anaesthetic agents contributes to the emission of greenhouse gases, which significantly impact climate change. Additionally, specific anaesthetic agents can have adverse effects on healthcare staff. In this article, we will explore the impact of anaesthesia on the environment, the health of staff members, and how Total Intravenous Anaesthesia (TIVA) offers an alternative approach that mitigates these concerns.   Greenhouse Gases and Anaesthesia The use of inhalational anaesthetic agents, such as nitrous oxide (N2O) and desflurane, contributes to...

  Amitabh Dutta, Nitin Sethi, Goverdhan D Puri, Jayashree Sood, Prabhat Kumar Choudhary, Anil Kumar Jain, Bhuwan Chand Panday, Manish Gupta. Institute of Anesthesiology, Pain, and Perioperative Medicine, Sir Ganga Ram Hospital, New Delhi, India.Department of Anesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India  Introduction Morbidly obese patients are more vulnerable to post surgery adverse respiratory outcome (upper air- way obstruction, obstructive sleep apnea, or sedation) primarily due to their altered body constitution (in- creased body mass index [BMI], lower upper airway smooth muscle tone, or excessive oropharyngeal soft tissue). It is also likely that...