Approximation for the enhancement factor applicable to reversible reactions of finite rate in chemically loaded solutions.

A new explicit relation is proposed for the prediction of the enhancement factor for reversible reactions of finite rate in chemically loaded solutions which also allows for unequal diffusivities. The relation for the enhancement factor is not based on an approximation of the absorption process, but is derived from a similarity which can be observed between the results of the approximation for an irreversible (1,1) order reaction given by, for example, DeCoursey (surface renewal model), and the exact numerical results. The present relation combines the solution of DeCoursey (1974 Chem. Engng Sci. 29, 1867¿1872) for irreversible finite rate reactions, and the solution of Secor and Beutler (film model, 1967 A.I.Ch.E. J. 13, 365¿373) for instantaneous reversible reactions. The diffusivity ratios in the solution of Secor and Beutler (1967) were replaced by the roots of these ratios in order to adapt the enhancement factors to the penetration theory. In general, this adaptation of the solution of Secor and Beutler gave reasonably good results, however, for some situations with unequal diffusivities deviations up to 20% were found. The results of the present approximation were for various reactions compared to the numerical enhancement factors obtained for the model based on the Higbie penetration theory. Generally, the agreement was reasonably good. Only 26 of 2187 preselected simulations (1.18%) had a deviation which was larger than 20%, while the average deviation of all simulations was 3.3%. The deviations increased for solutions with a substantial chemical loading in combination with unequal diffusivities of the components. For reactions with a kinetic order unequal to unity, the Ha number had to be multiplied by a factor, ¿¿, so that Ea = ¿¿H aA in the regime 2 < HaA Ea,¿. This factor agreed well with the factor given by Hikita and Asai (1964, Int. Chem. Engng 4, 332¿340) in their dimensionless numbe

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries