Evidence map›Paper›PMID 39377790›Full record

ArticleIntensive care medicine2024

Environmental sustainability in intensive care: the path forward. An ESICM Green Paper.

Jan J De Waele, Nicole Hunfeld, Heather Baid, Ricard Ferrer, Katerina Iliopoulou, Ana-Maria Ioan, Marc Leone, Marlies Ostermann, Gaetano Scaramuzzo, Maria Theodorakopoulou and 12 more

Abstract read
In one paragraph

Article in Intensive care medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

  1. Article
  2. From carbon cost to climate care: Greening our intensive care units.World journal of critical care medicine · 2026
    Review
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. The environmental cost of learning: COIntensive care medicine · 2026
    Article
  9. Environmental sustainability evidence in critical care medicine: a scoping review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026
    Article
  10. Choosing Wisely Canada climate-conscious recommendations for critical care medicine.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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

22 authors.

Jan J De WaeleDepartment of Intensive Care Medicine, Ghent University Hospital, Ghent, Belgium. Jan.DeWaele@UGent.be.ORCID 0000-0003-1017-9748
Nicole HunfeldDepartment of Intensive Care, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0001-6856-7028
Heather BaidUniversity of Brighton, Brighton, UK.ORCID 0000-0001-5128-4400
Ricard FerrerIntensive Care Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.ORCID 0000-0002-4859-4747
Katerina IliopoulouCity University of London, London, UK.ORCID 0000-0002-1029-452X
Ana-Maria IoanHospital Universitario Fundación Jiménez Díaz, Madrid, Spain.ORCID 0000-0001-7305-3785
Marc LeoneService d'Anesthesie et de Réanimation, hôpital Nord, Assistance Publique Hôpitaux Universitaires de Marseille, Aix Marseille Université, Marseille, France.ORCID 0000-0002-3097-758X
Marlies OstermannDepartment of Critical Care, Guy's & St Thomas' Hospital, London, UK.ORCID 0000-0001-9500-9080
Gaetano ScaramuzzoDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.ORCID 0000-0001-9739-4082
Maria TheodorakopoulouGeneral Hospital of Attiki KAT, Athens, Greece.ORCID 0000-0002-0385-1869
Hugo TouwRadboud University Medical Centre, Nijmegen, The Netherlands.ORCID 0000-0001-5970-0157
Giuseppe CiterioSchool of Medicine and Surgery, Milano - Bicocca University, Milan, Italy.ORCID 0000-0002-5374-3161
Lennie P G DerdeIntensive Care Center, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-3577-5629
Katia DonadelloDepartment of Surgery, Dentistry, Gynaecology And Paesiatrics, University of Verona, Verona, Italy.ORCID 0000-0002-7053-8434
Nicole P JuffermansDepartment of Intensive Care, Erasmus Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-3039-6574
Laura GalarzaDepartment of Intensive Care, Hospital General Universitario de Castellón, Castellón de La Plana, Spain.ORCID 0000-0002-4658-748X
Giacomo GrasselliDepartment of Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID 0000-0002-1735-1400
Salvatore Maurizio MaggioreUniversity Department of Innovative Technologies in Medicine and Dentistry, Gabriele d'Annunzio University of Chieti-Pescara, Chieti, Italy.ORCID 0000-0002-1828-9143
Ignacio Martin-LoechesDepartment of Intensive Care Medicine, Multidisciplinary Intensive Care Research Organization (MICRO), St. James Hospital, Dublin, Ireland.ORCID 0000-0002-5834-4063
Joel AlexandreEuropean Society of Intensive Care Medicine, Brussels, Belgium.
Maurizio CecconiBiomedical Sciences Department, Humanitas University, Milan, Italy.ORCID 0000-0002-4376-6538
Elie AzoulayCritical Care Department, APHP, Hôpital Saint-Louis, Paris Cité University, Paris, France.ORCID 0000-0002-8162-1508

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe European Society of Intensive Care Medicine (ESICM) Green Paper aims to address the challenge of environmental sustainability in intensive care and proposes actionable strategies for integrating sustainability into intensive care unit (ICU) stakeholder actions.

methodsThe ESICM Executive Committee appointed a task force of topic experts and ESICM committee representatives to develop the ESICM Green Paper. The task force convened biweekly from January to June 2024, identifying key domains for environmental sustainability and prioritizing actions. Drafts were iteratively refined and approved by the ESICM Executive Committee.

resultsClimate change will impact activities in intensive care in many ways, but also the impact of ICU activities on the environment is considerable; drivers for this include extensive resource use and waste generation in ICUs from energy consumption, use of disposable items, and advanced therapies for critically ill patients. The ESICM Green Paper outlines a structured approach for ICUs to reduce their environmental impact, emphasizing energy efficiency, waste reduction, and sustainable procurement. Furthermore, it endorses the need for awareness and education among healthcare professionals, integration of sustainability into research, and sustainable policies within scientific societies.

conclusionsThe ESICM Green Paper reviewed the relevance of climate change to intensive care and provided suggestions for clinical practice, research, education, and ESICM organizational domains. It underscores that reducing intensive care's ecological footprint can coexist with high-quality patient care. Promoting a resilient, responsible healthcare system is a joint responsibility of all ICU stakeholders.

Indexed as

Climate ChangeCritical CareIntensive Care UnitsConservation of Natural ResourcesEuropeHumansSustainable DevelopmentClimate changeEnergy efficiencyEnvironmental sustainabilityIntensive careProcurementResource consumptionWaste management

Identifiers

PMID39377790
PMCPMC11541358

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.