{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T13:16:20Z","timestamp":1776518180981,"version":"3.51.2"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009780","name":"Region Sk\u00e5ne","doi-asserted-by":"publisher","award":["#18401"],"award-info":[{"award-number":["#18401"]}],"id":[{"id":"10.13039\/501100009780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The use of single\u2010use laryngeal masks has increased in recent decades; yet, their climate and environmental impacts remain poorly understood. This study aimed to compare the climate impacts of reusable and single\u2010use laryngeal masks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a life cycle assessment that compared the reusable Ambu Aura40 with the single\u2010use Ambu AuraStraight and Intersurgical\u00a0Igel+ laryngeal masks. Data were obtained from the manufacturers, the ecoinvent database v3.10 and from Helsingborg Hospital, Sweden. Climate impacts were assessed using the ReCiPe2016 method, assuming 40 reuses of the Aura40. The results were expressed in carbon dioxide equivalents over a 100\u2010year period (CO\n                      <jats:sub>2<\/jats:sub>\n                      e) and presented as medians with 95% reference intervals for one use.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The climate impact of the Aura40 was 141 gCO\n                      <jats:sub>2<\/jats:sub>\n                      e (129\u2013156), versus 597 gCO\n                      <jats:sub>2<\/jats:sub>\n                      e (533\u2013686) and 1000 gCO\n                      <jats:sub>2<\/jats:sub>\n                      e (848\u20131210) for the AuraStraight and Igel+, respectively. Compared with the Aura40, the AuraStraight had a 323% greater climate impact (\u2206456 gCO\n                      <jats:sub>2<\/jats:sub>\n                      eq [390\u2013535]), and the Igel+ had a 607% higher climate impact (\u2206856 gCO\n                      <jats:sub>2<\/jats:sub>\n                      eq [709\u20131070]). The Igel+ had a 68% greater climate impact (\u2206404 gCO\n                      <jats:sub>2<\/jats:sub>\n                      eq [224\u2013608]) than the AuraStraight. Sensitivity analyses indicated that the climate impact of the Aura40 exceeded that of the AuraStraight and was similar to that of the Igel+ when a high\u2010climate\u2010impact electricity mix was used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Aura40 reusable laryngeal mask constitutes an opportunity to reduce the climate impact of anaesthesia in a setting with a low\u2010climate\u2010impact electricity mix. Among single\u2010use options, the AuraStraight had a lower climate impact than the Igel+.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Editorial Comment<\/jats:title>\n                    <jats:p>Single\u2010use or reusable anesthesia equipment, like laryngeal masks have different costs associated with their use, and leave different environmental \u2018footprints\u2019. This analysis presents models for these, to estimate the environmental impact and costs of these. This type of analysis is important to try to clarify the use \u2018case\u2019 for different alternatives for choices for materiel used in clinical areas like anesthesia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aas.70144","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T07:13:07Z","timestamp":1762326787000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Climate Impact of Laryngeal Masks: Climate and Other Environmental Impacts of Reusable and Single\u2010Use Laryngeal Masks in Sweden"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5255-4046","authenticated-orcid":false,"given":"Adrien","family":"Talbot","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Sk\u00e5ne University Hospital  Helsingborg Sweden"},{"name":"Department of Clinical Sciences Lund University  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gang","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Community Development Environmental Division, Trelleborg Municipality  Trelleborg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrius","family":"Plepys","sequence":"additional","affiliation":[{"name":"International Institute for Industrial Environmental Economics Lund University  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8783-3886","authenticated-orcid":false,"given":"Peter","family":"Bentzer","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Sk\u00e5ne University Hospital  Helsingborg Sweden"},{"name":"Department of Clinical Sciences Lund University  Lund 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