Anesthesia and perioperative care, particularly in high-income nations, have become increasingly reliant on single-use plastic disposables from face masks through breathing circuits to IV giving sets.1–3  In the United States, it is estimated that operating rooms contribute approximately 30% of the 5 million tons of waste generated by hospitals annually.4,5  A quarter of the solid waste associated with surgery is likely to be of anesthesia origin, with plastics forming almost half of the total anesthetic waste volume.

Plastic products have been massively used since the 1950s and are now recognized widely to be a major environmental burden. Of the cumulative 7.8 billion tonnes of plastic waste generated between 1950 and 2015, only 9% have been recycled and the rest incinerated (12%) or discarded in landfills or the natural environmental (79%). As...

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