Authors
Ma Wai Wai Zaw, Pei Kee Poh, Kah Heng Tan, King Sin Ang, Monica Tan, Lucy Davies, Chin Ling Beatrice Lim, Hean Peng Chan, Wing Yan Chan, Wai Leng Lum, Bee Hua Michelle Tan, Michael Kynoch, Jo-Anne Yeo
Published in
Singapore medical journal. Volume 67. Issue 10. Pages 608-619. Oct 01, 2026. Epub Oct 27, 2026.
Abstract
Healthcare accounts for 7% of Singapore's carbon emissions. Given the role of planetary health in health outcomes, healthcare must be sustainable, evidence- and value-based. This consensus paper provides Singapore-specific recommendations to guide sustainable anaesthesia and intensive care practice while maintaining clinical care standards. It aims to support discussion, planning and implementation of initiatives without superseding clinical judgement or local policies. A workgroup from the Singapore Society of Anaesthesiologists conducted a review of international sustainability guidelines, peer-reviewed literature and evidence. Iterative consensus building was undertaken through discussion and consultation. Evidence was derived from life cycle analyses, laboratory or environmental studies, and quality improvement initiatives rather than conventional randomised controlled trials, but can nevertheless provide a robust scientific basis for recommendations underpinned by the triple bottom line framework. This position statement calls upon anaesthesiologists in Singapore to exercise leadership and stewardship to reduce emissions without compromising care.
PMID:
42935102
Bibliographic data and abstract were imported from PubMed on 27 Oct 2026.
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