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Gleichzeitig ist SF\n                      <jats:sub>6<\/jats:sub>\n                      das mit Abstand klimasch\u00e4dlichste bekannte Treibhausgas mit einem 24.300-fach h\u00f6heren Erderw\u00e4rmungspotenzial als Kohlendioxid (CO\n                      <jats:sub>2<\/jats:sub>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>\n                      Bewertung der Klimafolgen des ophthalmochirurgischen Einsatzes von SF\n                      <jats:sub>6<\/jats:sub>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Systematische Literaturrecherche.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>\n                      Das CO\n                      <jats:sub>2<\/jats:sub>\n                      -\u00c4quivalent der im Rahmen einer Vitrektomie verbrauchten SF\n                      <jats:sub>6<\/jats:sub>\n                      -Menge entspricht dem von 9\u202fkm Autofahrt mit Verbrennungsmotor. Ein Ersatz von SF\n                      <jats:sub>6<\/jats:sub>\n                      durch andere Endotamponaden kann mit medizinischen Nachteilen verbunden sein. So f\u00fchren die ebenfalls klimasch\u00e4dlichen Gase Hexafluorethan (C\n                      <jats:sub>2<\/jats:sub>\n                      F\n                      <jats:sub>6<\/jats:sub>\n                      ) und Octafluorpropan (C\n                      <jats:sub>3<\/jats:sub>\n                      F\n                      <jats:sub>8<\/jats:sub>\n                      ) zu einer verl\u00e4ngerten visuellen Rehabilitation, Silikon\u00f6l zur Notwendigkeit einer zweiten Operation und Luft zu einer indikationsabh\u00e4ngig m\u00f6glicherweise schlechteren Wirksamkeit. Der Einsatz von SF\n                      <jats:sub>6<\/jats:sub>\n                      sollte, soweit wie medizinisch m\u00f6glich, reduziert werden z.\u202fB. durch die Vermeidung von ungenutzten Gas\u00fcbersch\u00fcssen w\u00e4hrend der OP. Erg\u00e4nzende Ma\u00dfnahmen mit hohem klimaschonendem Effekt beinhalten z.\u202fB. die Reduktion bzw. das Recycling von OP-M\u00fcll, den Wechsel von inhalativer zu intraven\u00f6ser oder lokaler An\u00e4sthesie und die Reduktion von Nachkontrollen.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Medizinische Praktiken m\u00fcssen regelm\u00e4\u00dfig auf ihre Auswirkungen auf den Klimawandel \u00fcberpr\u00fcft und gegebenenfalls angepasst werden. Daraus sollen sich jedoch keine medizinischen Nachteile f\u00fcr den Patienten ergeben. Randomisierte Studien m\u00fcssen zeigen, ob Treibhausgase als Tamponaden bei bestimmten ophthalmochirurgischen Eingriffen durch Luft ersetzt werden k\u00f6nnen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00347-025-02356-x","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T15:35:59Z","timestamp":1764344159000},"page":"128-132","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Schwefelhexafluorid (SF6) und Klimafolgen: Ist die medizinische Anwendung noch gerechtfertigt?","Sulphur hexafluoride (SF6) and climate impact: is the medical use still justified?"],"prefix":"10.1007","volume":"123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2280-925X","authenticated-orcid":false,"given":"Tim U.","family":"Krohne","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Birtel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Charbel Issa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,28]]},"reference":[{"key":"2356_CR1","doi-asserted-by":"publisher","DOI":"10.1055\/a-2184-9492","author":"J Birtel","year":"2024","unstructured":"Birtel\u00a0J, Hammer\u00a0M, Feltgen\u00a0N et\u00a0al (2024) Intravitreal Injections: Improving Sustainability by Reducing Clinical Waste. 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