Evidence map›Paper›PMID 37978425›Full record

ArticleBMC anesthesiology2023

Environmental sustainability from anesthesia providers' perspective: a qualitative study.

Greta Gasciauskaite, Justyna Lunkiewicz, Donat R Spahn, Corinna Von Deschwanden, Christoph B Nöthiger, David W Tscholl

Abstract read
In one paragraph

Article in BMC anesthesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Greta GasciauskaiteInstitute of Anesthesiology, University and University Hospital Zurich, Raemistrasse 100, Zurich, 8091, Switzerland. greta.gasciauskaite@usz.ch.
Justyna LunkiewiczInstitute of Anesthesiology, University and University Hospital Zurich, Raemistrasse 100, Zurich, 8091, Switzerland.
Donat R SpahnInstitute of Anesthesiology, University and University Hospital Zurich, Raemistrasse 100, Zurich, 8091, Switzerland.
Corinna Von DeschwandenInstitute of Anesthesiology, University and University Hospital Zurich, Raemistrasse 100, Zurich, 8091, Switzerland.
Christoph B NöthigerInstitute of Anesthesiology, University and University Hospital Zurich, Raemistrasse 100, Zurich, 8091, Switzerland.
David W TschollInstitute of Anesthesiology, University and University Hospital Zurich, Raemistrasse 100, Zurich, 8091, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe world faces a significant global health threat - climate change, which makes creating more environmentally sustainable healthcare systems necessary. As a resource-intensive specialty, anesthesiology contributes to a substantial fraction of healthcare's environmental impact. This alarming situation invites us to reconsider the ecological health determinants and calls us to action.

methodsWe conducted a single-center qualitative study involving an online survey to explore the environmental sustainability from anesthesia providers' perspectives in a center implementing internal environmentally-sustainable anesthesia guidelines. We asked care providers how they perceive the importance of environmental issues in their work; the adverse effects they see on ecological sustainability in anesthesia practice; what measures they take to make anesthesia more environmentally friendly; what barriers they face in trying to do so; and why they are unable to adopt ecologically friendly practices in some instances. Using a thematic analysis approach, we identified dominating themes in participants' responses.

resultsA total of 62 anesthesia providers completed the online survey. 89% of the participants stated that environmental sustainability is essential in their work, and 95% reported that they implement measures to make their practice greener. A conscious choice of anesthetics was identified as the most common step the respondents take to reduce the environmental impact of anesthesia. Waste production and improper waste management was the most frequently mentioned anesthesia-associated threat to the environment. Lacking knowledge/teaching in sustainability themes was recognized as a crucial barrier to achieving ecology goals.

conclusionsSustainable anesthesia initiatives have the potential to both encourage engagement among anesthesia providers and raise awareness of this global issue. These findings inspire opportunities for action in sustainable anesthesia and broaden the capacity to decrease the climate impact of health care.

Indexed as

AnesthesiaAnestheticsClimate ChangeHumansAnestheticsAnesthesiologyCarbon footprintClimate changeEnvironmental sustainabilityGlobal healthGreenhouse gasesOzone depletionWaste management.

Identifiers

PMID37978425
PMCPMC10655271

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.