{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T17:36:53Z","timestamp":1793122613221,"version":"4.5.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Anaesth Intensive Care"],"abstract":"<jats:p>Climate change is recognised as a public health emergency requiring urgent and decisive action. The adverse effects on the environment from delivering healthcare are well established, and identifying areas for positive change that are under our direct control as anaesthetists is imperative. Desflurane, a volatile anaesthetic gas, has significantly greater negative environmental and financial impacts, with little benefit to patient safety or quality of care, compared with clinically equivalent alternatives. In this context, the Australian and New Zealand College of Anaesthetists released a statement on desflurane in 2024 to provide balanced guidance for reducing desflurane consumption based on current evidence and expert consensus opinion. This article summarises the background for the statement and presents the \u2018ANZCA Statement on Desflurane\u2019 verbatim.<\/jats:p>","DOI":"10.1177\/0310057x261474520","type":"journal-article","created":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T06:29:46Z","timestamp":1792823386000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Building sustainable resilient health systems: The Australian and New Zealand College of Anaesthetists statement on desflurane"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6304-484X","authenticated-orcid":false,"given":"Adam P","family":"Crossley","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, St John of God Hospital Murdoch, Murdoch, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1487-115X","authenticated-orcid":false,"given":"Archana C","family":"Shrivathsa","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Fiona Stanley and Fremantle Hospitals Group, Perth, WA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1462-8838","authenticated-orcid":false,"given":"Eugenie A","family":"Kayak","sequence":"additional","affiliation":[{"name":"Department of Critical Care, Melbourne Medical School, The University of Melbourne, VIC, Australia"},{"name":"Department of Anaesthesiology and Perioperative Medicine, Alfred Health, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.70046"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1096\/j.bja.2023.08.018"},{"key":"e_1_3_2_4_2","unstructured":"Council of Australian Therapeutic Advisory Groups. Position Statement on the formulary listing of desflurane https:\/\/catag.org.au\/wp-content\/uploads\/CATAG-Position-Statement-on-the-formulary-listing-of-desflurane-FINAL.pdf (2025 accessed 16 October 2025)."},{"key":"e_1_3_2_5_2","unstructured":"NHS England. NHS England \u00bb Guidance: desflurane decommissioning and clinical use https:\/\/www.england.nhs.uk\/long-read\/guidance-desflurane-decommissioning-and-clinical-use\/ (2024 accessed 16 October 2025)."},{"key":"e_1_3_2_6_2","unstructured":"Statewide Anaesthesia and Perioperative Care Clinical Network Environmental Accountability Working Group. SWAPNet Communique \u2013 Desflurane. Queensland Health: Clinical Excellence Queensland https:\/\/www.health.qld.gov.au\/__data\/assets\/pdf_file\/0024\/1433634\/swapnet-communique-desflurane.pdf (2021 accessed 16 September 2025)."},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1096\/j.bja.2020.12.025"},{"key":"e_1_3_2_8_2","unstructured":"World Health Organization. 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Australian and New Zealand College of Anaesthetists https:\/\/www.anzca.edu.au\/resources\/professional-documents\/standards-(1)\/ps64-statement-on-environmental-sustainability-in.aspx (2019 accessed 16 October 2025)."},{"key":"e_1_3_2_12_2","unstructured":"ANZCA Environmental Sustainability Working Group. ANZCA environmental sustainability audit tool https:\/\/www.anzca.edu.au\/getContentAsset\/4268fe1e-31e9-4c64-b763-6d8cea7e1c3d\/80feb437-d24d-46b8-a858-4a2a28b9b970\/ESWG-Audit-tool.pdf (2020 accessed 17 October 2025)."},{"key":"e_1_3_2_13_2","unstructured":"World Health Organization. WHO: climate change. Climate Change https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/climate-change-and-health (2023 accessed 17 October 2025)."},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)01859-7"},{"key":"e_1_3_2_15_2","unstructured":"Royal Australasian College of Surgeons. Environmental impact of surgical practice. 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Monash Sustainable Development Evidence Review Service BehaviourWorks Australia Melbourne https:\/\/www.racp.edu.au\/docs\/default-source\/advocacy-library\/climate-change-and-australias-healthcare-systems-a-review-of-literature-policy-and-practice.pdf (2021 accessed 1 October 2025)."},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14647"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.09.013"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15203"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e3181adc21a"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnagi.2023.1067268"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.07.050"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16189"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2021.03.004"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(23)00084-0"},{"key":"e_1_3_2_26_2","unstructured":"Blain D Calvo Buendia E Fuglestvedt JS et al. 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