4/23/2026 Anesthesiology Grand Rounds -Healing Without Harm: Advancing Environmental Sustainability in Anesthesiology - Isabela (Cajiao) Angelelli, MD
This online CME activity explores the significant environmental impact of healthcare—particularly anesthesiology—highlighting that the U.S. healthcare system contributes approximately 8.5% of national CO₂e emissions.
Learners will review key concepts such as carbon footprint and life cycle analysis and examine practical strategies, including low-flow anesthesia, reduction of high-impact anesthetic agents, and sustainable clinical practices, to support decarbonization efforts in perioperative care.
Target Audience
Anesthesiologists and anesthesiologists-in-training and other anesthesia professionals, nurse anesthetists and anesthesia assistants.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Describe the impact of healthcare—particularly anesthesiology—on greenhouse gas emissions and environmental health.
- Analyze the primary sources of carbon emissions within healthcare and identify the most impactful areas for intervention.
- Explain the relationship between environmental sustainability, patient safety, and quality of care.
- Identify and evaluate specific sustainability initiatives implemented at UPMC (e.g., anesthetic gas reduction, device reuse, kit optimization) and their measurable outcomes.
- Identify and engage in opportunities to participate in healthcare sustainability efforts at UPMC.
Isabela (Cajiao) Angelelli, MD — Director of Clinical Operations – CHP Sedation Service; Assistant Director of Employee Engagement in Sustainability; Clinicians for Climate Action, Co-Founder and Co-Chair

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician (CME)
The University of Pittsburgh designates this enduring material activity for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Other Healthcare Professionals
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Available Credit
- 0.75 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 0.75 Attendance

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