About Us

Sustainability at IAA

Can Anesthesiologists play an important and impactful role in decreasing greenhouse gases through their day to day practice? Absolutly.  Here are simple tips and tools you can use in the operating room. 

Sustainable practices make a difference

DID YOU KNOW that health care is responsible for ~10% of the world’s greenhouse gases and that anesthesia contributes significantly to this serious environmental problem?

Our IAA physicians and anesthetists are motivated to fight climate change and reduce environmentally damaging activities to the best of our abilities. You can do the same!

Dr. Adam Fischler
Dr. Adam Fischler leads IAA's sustainability efforts company-wide.

Stay informed. Subscribe to Dr. Fischler’s periodic sustainability e-newsletter and receive useful sustainability tips in your inbox. 

What does it mean to be committed to sustainability?

At IAA, our teams throughout the state of Connecticut are continuously striving to identify and implement positive changes to our anesthesia practices and processes, changes that we know will make a difference in our efforts to reduce greenhouse gas (GHG) emissions in the OR and reduce overall waste in our day-to-day work. These are the areas of change and improvement to which we have committed so far.

IAA is making the following sustainability choices daily.

• TIVA is used as much as possible.

• Regional is used as much as appropriate. 

• SEVO is used when using a volatile agent (GHG).

• Low total fresh gas flow is the norm.

We continue to strive to:

• Reduce syringe usage and have more prefilled syringe availability.

• Reformulate premade kits to eliminate unnecessary items that only add to waste (aline kits, epidural and spinal kits).

• Reduce drug waste.

• Dispose of waste in the proper waste stream.

• Open only what we plan to use.

• Streamline recycling processes where feasible.

• Contract with sustainable waste management.

• Reduce reliance on single-use products.

• Donate viable medical equipment and supplies instead of disposing of them.

Doing our part to protect the environment

At Integrated Anesthesia Associates, we strive to do our part in reigning in our carbon footprint by normalizing sustainable behaviors, including reduction of total fresh gas flows, avoidance of Desflurane and N2O, and focus on regional anesthetics and Total IntraVenous Anesthesia (TIVA). In addition, reduction of our material and pharmaceutical waste streams and proper disposal or recycling of our waste are other practice goals that we consider of the utmost importance.

Make a difference every day.

Through these sustainable practices and serving on hospital and community sustainability committees, our professionals are making a difference every day. We understand that health care is responsible for ~10% of the world’s greenhouse gases and that anesthesia contributes significantly to this serious environmental problem. Our physicians and anesthetists are motivated to fight climate change and reduce any environmentally damaging activities to the best of our abilities.

Join Us

IAA clinicians understand that they can provide the same quality of patient care utilizing more sustainable anesthesia approaches and are committed to making an impact in the preservation of our planet’s environment. We invite you to join us in this quest to make a real difference. Please spread the word and subscribe to our email for tips and solutions you can implement today.

Sustainability News from IAA

Conserving Oxygen

Sustainability in the OR – eNewsletter CONSERVING OXYGEN ISSUE 3 – 2023 In our previous Sustainability e-Newsletter, we discussed the positive impact of avoiding the

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