Carbon Capture, Utilisation and Storage as a Defense Tool against Climate Change: Current Developments in West Macedonia (Greece)

In West Macedonia (Greece), CO2 accounts as one of the largest contributors of greenhouse gas emissions related to the activity of the regional coal power plants located in Ptolemaida. The necessity to mitigate CO2 emissions to prevent climate change under the Paris Agreement’s framework remains an ongoing and demanding challenge. It requires implementing crucial environmentally sustainable technologies to provide balanced solutions between the short-term needs for dependency on fossil fuels and the requirements to move towards the energy transition era. The challenge to utilise and store CO2 emissions will require actions aiming to contribute to a Europe-wide CCUS infrastructure. The Horizon 2020 European Project “STRATEGY CCUS “examines the potential for CO2 storage in the Mesohellenic Trough from past available data deploying the USDOE methodology. Research results show that CO2 storage capacities for the Pentalofos and Eptachori geological formations of the Mesohellenic Trough are estimated at 1.02 and 0.13 Gt, respectively, thus providing the potential for the implementation of a promising method for reducing CO2 emissions in Greece. A certain storage potential also applies to the Grevena sub-basin, offering the opportunity to store any captured CO2 in the area, including other remote regions

Sex difference and intra-operative tidal volume: Insights from the LAS VEGAS study

BACKGROUND: One key element of lung-protective ventilation is the use of a low tidal volume (VT). A sex difference in use of low tidal volume ventilation (LTVV) has been described in critically ill ICU patients.OBJECTIVES: The aim of this study was to determine whether a sex difference in use of LTVV also exists in operating room patients, and if present what factors drive this difference.DESIGN, PATIENTS AND SETTING: This is a posthoc analysis of LAS VEGAS, a 1-week worldwide observational study in adults requiring intra-operative ventilation during general anaesthesia for surgery in 146 hospitals in 29 countries.MAIN OUTCOME MEASURES: Women and men were compared with respect to use of LTVV, defined as VT of 8 ml kg-1 or less predicted bodyweight (PBW). A VT was deemed 'default' if the set VT was a round number. A mediation analysis assessed which factors may explain the sex difference in use of LTVV during intra-operative ventilation.RESULTS: This analysis includes 9864 patients, of whom 5425 (55%) were women. A default VT was often set, both in women and men; mode VT was 500 ml. Median [IQR] VT was higher in women than in men (8.6 [7.7 to 9.6] vs. 7.6 [6.8 to 8.4] ml kg-1 PBW, P < 0.001). Compared with men, women were twice as likely not to receive LTVV [68.8 vs. 36.0%; relative risk ratio 2.1 (95% CI 1.9 to 2.1), P < 0.001]. In the mediation analysis, patients' height and actual body weight (ABW) explained 81 and 18% of the sex difference in use of LTVV, respectively; it was not explained by the use of a default VT.CONCLUSION: In this worldwide cohort of patients receiving intra-operative ventilation during general anaesthesia for surgery, women received a higher VT than men during intra-operative ventilation. The risk for a female not to receive LTVV during surgery was double that of males. Height and ABW were the two mediators of the sex difference in use of LTVV.TRIAL REGISTRATION: The study was registered at Clinicaltrials.gov, NCT01601223

Physicochemical Properties and REE Distribution of the Northwest and Central Greece Coal Deposits: A Review

This review presents a mineralogical and physicochemical comparison of coal seams located in the regions of Northwest and Central Greece. The comparison extends to the fly ash derivatives from the coal combustion for energy production, in the cases where data are available. Coal occurrences from Northwest Greece tend to exhibit higher content of rare earth elements (REE) compared to those of Central Greece. Moreover, fly ash products show similar trends in Light-REE compared to their coal parent rocks. The observed REE distribution seems to be correlated with the occurrence of specific minerals such as allanite, monazite, as well as with Fe-contents

Potential Sites for Underground Energy and CO2 Storage in Greece: A Geological and Petrological Approach

Underground geological energy and CO2 storage contribute to mitigation of anthropogenic greenhouse-gas emissions and climate change effects. The present study aims to present specific underground energy and CO2 storage sites in Greece. Thermal capacity calculations from twenty-two studied aquifers (4 × 10−4–25 × 10−3 MJ) indicate that those of Mesohellenic Trough (Northwest Greece), Western Thessaloniki basin and Botsara flysch (Northwestern Greece) exhibit the best performance. Heat capacity was investigated in fourteen aquifers (throughout North and South Greece) and three abandoned mines of Central Greece. Results indicate that aquifers present higher average total heat energy values (up to ~6.05 × 106 MWh(th)), whereas abandoned mines present significantly higher average area heat energy contents (up to ~5.44 × 106 MWh(th)). Estimations indicate that the Sappes, Serres and Komotini aquifers could cover the space heating energy consumption of East Macedonia-Thrace region. Underground gas storage was investigated in eight aquifers, four gas fields and three evaporite sites. Results indicate that Prinos and South Kavala gas fields (North Greece) could cover the electricity needs of households in East Macedonia and Thrace regions. Hydrogen storage capacity of Corfu and Kefalonia islands is 53,200 MWh(e). These values could cover the electricity needs of 6770 households in the Ionian islands. Petrographical and mineralogical studies of sandstone samples from the Mesohellenic Trough and Volos basalts (Central Greece) indicate that they could serve as potential sites for CO2 storage

GIS-Based Assessment of Hybrid Pumped Hydro Storage as a Potential Solution for the Clean Energy Transition: The Case of the Kardia Lignite Mine, Western Greece

Planned decommissioning of coal-fired plants in Europe requires innovative technical and economic strategies to support coal regions on their path towards a climate-resilient future. The repurposing of open pit mines into hybrid pumped hydro power storage (HPHS) of excess energy from the electric grid, and renewable sources will contribute to the EU Green Deal, increase the economic value, stabilize the regional job market and contribute to the EU energy supply security. This study aims to present a preliminary phase of a geospatial workflow used to evaluate land suitability by implementing a multi-criteria decision making (MCDM) technique with an advanced geographic information system (GIS) in the context of an interdisciplinary feasibility study on HPHS in the Kardia lignite open pit mine (Western Macedonia, Greece). The introduced geospatial analysis is based on the utilization of the constraints and ranking criteria within the boundaries of the abandoned mine regarding specific topographic and proximity criteria. The applied criteria were selected from the literature, while for their weights, the experts’ judgement was introduced by implementing the analytic hierarchy process (AHP), in the framework of the ATLANTIS research program. According to the results, seven regions were recognized as suitable, with a potential energy storage capacity from 1.09 to 5.16 GWh. Particularly, the present study’s results reveal that 9.27% (212,884 m2) of the area had a very low suitability, 15.83% (363,599 m2) had a low suitability, 23.99% (550,998 m2) had a moderate suitability, 24.99% (573,813 m2) had a high suitability, and 25.92% (595,125 m2) had a very high suitability for the construction of the upper reservoir. The proposed semi-automatic geospatial workflow introduces an innovative tool that can be applied to open pit mines globally to identify the optimum design for an HPHS system depending on the existing lower reservoir

Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: post-hoc analysis of LAS VEGAS study

Background: Limited information is available regarding intraoperative ventilator settings and the incidence of postoperative pulmonary complications (PPCs) in patients undergoing neurosurgical procedures. The aim of this post-hoc analysis of the 'Multicentre Local ASsessment of VEntilatory management during General Anaesthesia for Surgery' (LAS VEGAS) study was to examine the ventilator settings of patients undergoing neurosurgical procedures, and to explore the association between perioperative variables and the development of PPCs in neurosurgical patients. Methods: Post-hoc analysis of LAS VEGAS study, restricted to patients undergoing neurosurgery. Patients were stratified into groups based on the type of surgery (brain and spine), the occurrence of PPCs and the assess respiratory risk in surgical patients in Catalonia (ARISCAT) score risk for PPCs. Results: Seven hundred eighty-four patients were included in the analysis; 408 patients (52%) underwent spine surgery and 376 patients (48%) brain surgery. Median tidal volume (VT) was 8 ml [Interquartile Range, IQR = 7.3-9] per predicted body weight; median positive end-expiratory pressure (PEEP) was 5 [3 to 5] cmH20. Planned recruitment manoeuvres were used in the 6.9% of patients. No differences in ventilator settings were found among the sub-groups. PPCs occurred in 81 patients (10.3%). Duration of anaesthesia (odds ratio, 1.295 [95% confidence interval 1.067 to 1.572]; p = 0.009) and higher age for the brain group (odds ratio, 0.000 [0.000 to 0.189]; p = 0.031), but not intraoperative ventilator settings were independently associated with development of PPCs. Conclusions: Neurosurgical patients are ventilated with low VT and low PEEP, while recruitment manoeuvres are seldom applied. Intraoperative ventilator settings are not associated with PPCs

Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications

Background: The aim of this post hoc analysis of a large cohort study was to evaluate the association between night-time surgery and the occurrence of intraoperative adverse events (AEs) and postoperative pulmonary complications (PPCs). Methods: LAS VEGAS (Local Assessment of Ventilatory Management During General Anesthesia for Surgery) was a prospective international 1-week study that enrolled adult patients undergoing surgical procedures with general anaesthesia and mechanical ventilation in 146 hospitals across 29 countries. Surgeries were defined as occurring during 'daytime' when induction of anaesthesia was between 8: 00 AM and 7: 59 PM, and as 'night-time' when induction was between 8: 00 PM and 7: 59 AM. Results: Of 9861 included patients, 555 (5.6%) underwent surgery during night-time. The proportion of patients who developed intraoperative AEs was higher during night-time surgery in unmatched (43.6% vs 34.1%; P<0.001) and propensity-matched analyses (43.7% vs 36.8%; P = 0.029). PPCs also occurred more often in patients who underwent night-time surgery (14% vs 10%; P = 0.004) in an unmatched cohort analysis, although not in a propensity-matched analysis (13.8% vs 11.8%; P = 0.39). In a multivariable regression model, including patient characteristics and types of surgery and anaesthesia, night-time surgery was independently associated with a higher incidence of intraoperative AEs (odds ratio: 1.44; 95% confidence interval: 1.09-1.90; P = 0.01), but not with a higher incidence of PPCs (odds ratio: 1.32; 95% confidence interval: 0.89-1.90; P = 0.15). Conclusions: Intraoperative adverse events and postoperative pulmonary complications occurred more often in patients undergoing night-time surgery. Imbalances in patients' clinical characteristics, types of surgery, and intraoperative management at night-time partially explained the higher incidence of postoperative pulmonary complications, but not the higher incidence of adverse events

Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: Post-hoc analysis of LAS VEGAS study

Background: Limited information is available regarding intraoperative ventilator settings and the incidence of postoperative pulmonary complications (PPCs) in patients undergoing neurosurgical procedures. The aim of this post-hoc analysis of the 'Multicentre Local ASsessment of VEntilatory management during General Anaesthesia for Surgery' (LAS VEGAS) study was to examine the ventilator settings of patients undergoing neurosurgical procedures, and to explore the association between perioperative variables and the development of PPCs in neurosurgical patients. Methods: Post-hoc analysis of LAS VEGAS study, restricted to patients undergoing neurosurgery. Patients were stratified into groups based on the type of surgery (brain and spine), the occurrence of PPCs and the assess respiratory risk in surgical patients in Catalonia (ARISCAT) score risk for PPCs. Results: Seven hundred eighty-four patients were included in the analysis; 408 patients (52%) underwent spine surgery and 376 patients (48%) brain surgery. Median tidal volume (VT) was 8 ml [Interquartile Range, IQR = 7.3-9] per predicted body weight; median positive end-expiratory pressure (PEEP) was 5 [3 to 5] cmH20. Planned recruitment manoeuvres were used in the 6.9% of patients. No differences in ventilator settings were found among the sub-groups. PPCs occurred in 81 patients (10.3%). Duration of anaesthesia (odds ratio, 1.295 [95% confidence interval 1.067 to 1.572]; p = 0.009) and higher age for the brain group (odds ratio, 0.000 [0.000 to 0.189]; p = 0.031), but not intraoperative ventilator settings were independently associated with development of PPCs. Conclusions: Neurosurgical patients are ventilated with low VT and low PEEP, while recruitment manoeuvres are seldom applied. Intraoperative ventilator settings are not associated with PPCs

Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications

Background: The aim of this post hoc analysis of a large cohort study was to evaluate the association between night-time surgery and the occurrence of intraoperative adverse events (AEs) and postoperative pulmonary complications (PPCs)