This article aims to highlight the clinical, organizational, and environmental benefits of using custom packs for local regional Anaesthesia (LRA), with a focus on promoting a sustainable and efficient approach. Specifically, this analysis will show:
- How custom packs can reduce packaging waste by several tons per year at a single hospital.
- Evidence of time savings of nearly six minutes per procedure, directly improving operating room efficiency.
The Hidden Costs of Disorganization in the Operating Room
In the global push for sustainability, the healthcare sector is under intense scrutiny, as it accounts for 4.4% of global net emissions.
Local-regional anaesthesia and Sustainability: The Green Revolution in the Operating Room
A significant portion of this impact comes from the operating room, not only from anaesthetic gases, but from a less obvious source: waste and inefficiency.
Traditional preparation for a medical procedure involves gathering dozens of individually packaged items: gloves, needles, syringes, drapes and more.
This approach generates a huge amount of plastic, cardboard and paper waste in each case.

The “triple benefit” for a modern operating room.
Adopting custom packs is much more than a simple product change; it is a strategic decision that offers a “triple win” for any modern healthcare institution.
- Environmental gain: A measurable reduction in waste and a smaller carbon footprint
- An Organizational Gain: A significant increase in efficiency, saving time and potentially costs, while simplifying logistics and reducing staff stress
A Clinical Gain: A higher level of safety by reducing errors and the risk of contamination, which contributes to improving patient outcomes and staff satisfaction

In an era where healthcare must be sustainable while staying efficient, and safe, the custom packs emerge as an indispensable tool. It demonstrates that it is possible to simultaneously optimize environmental, organizational, and clinical objectives, making it a smart and responsible investment for the future of surgery and anaesthesia.
Bibliography
- Peycelon, M. (2023). Mise à disposition des produits de santé au bloc opératoire et développement durable : quel potentiel pour le déploiement des customs packs au CHU de Grenoble Alpes ? [Thèse de doctorat, Université Grenoble Alpes]. DUMAS. https://dumas.ccsd.cnrs.fr/dumas-04087324v1
- Esposito C.D., Rocchi E., Folsi M.F. Introduction des custom packs dans le réseau hospitalier de la province de Lecco : projet, mise en œuvre et résultats. Forum. 2012;4:15–18. http://www.sssh.ch/uploads/media/f0412_esposito_F.pdf
- Thiel CL, Fiorin Carvalho R, Hess L, et al. Minimal Custom Pack Design and Wide-Awake Hand Surgery: Reducing Waste and Spending in the Orthopedic Operating Room. Hand N Y N. 2019;14(2):271-276. doi:10.1177_1558944717743595.pdf





