Evidence map›Paper›PMID 40097901›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2025

Environmental responsibility in resource utilization during the practice of regional anesthesia: a Canadian Anesthesiologists' Society Delphi consensus study.

Vivian H Y Ip, Clifford L Shelton, Forbes McGain, Danielle Eusuf, Deirdre C Kelleher, Galaxy Li, Alan J R Macfarlane, Julien Raft, Kristopher M Schroeder, Thomas Volk and 2 more

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

12 authors.

Vivian H Y IpDepartment of Anesthesiology, Perioperative and Pain Medicine, Cumming School of Medicine, University of Calgary, South Health Campus, 4448 Front Street SE, Calgary, AB, T3M 1M4, Canada. hip@ualberta.ca.ORCID 0000-0001-6158-4415
Clifford L SheltonDepartment of Anaesthesia, Wythenshawe Hospital, Manchester, UK.
Forbes McGainDepartment of Critical Care, Melbourne Medical School, The University of Melbourne, Melbourne, VIC, Australia.
Danielle EusufDepartment of Anaesthesia, Wythenshawe Hospital, Manchester, UK.
Deirdre C KelleherDepartment of Anesthesiology, Weill Cornell Medicine, New York, NY, USA.
Galaxy LiDepartment of Anesthesiology, Nemours Children's Health and Mayo Clinic, Jacksonville, Jacksonville, FL, USA.
Alan J R MacfarlaneDepartment of Anaesthesia, Glasgow Royal Infirmary and University of Glasgow, Glasgow, Scotland.
Julien RaftDepartment of Anaesthesia, Institut de Cancerologie de Lorraine, Vandoeuvre-les-Nancy, France.
Kristopher M SchroederDepartment of Anesthesiology, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Thomas VolkDepartment of Anaesthesiology, Critical Care and Pain Medicine, Saarland University Medical Center and Saarland University Faculty of Medicine, Homburg, Germany.
Rakesh V SondekoppamDepartment of Anesthesia, Perioperative and Pain Medicine, Stanford Medicine, Stanford University, Stanford, CA, USA.
Collaborators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRegional anesthesia (RA) is often perceived to be more environmentally sustainable than alternative forms of anesthesia. Nevertheless, the principles of sustainable RA remain ill-defined in the presence of variability of resource utilization within RA practice. Many infection prevention practices are based on low-level evidence, and recommendations vary internationally. We sought to conduct an evidence review and Delphi consensus study to provide guidance on aspects that lack high-quality evidence in RA practice to reconcile responsible resource stewardship and infection prevention in RA.

methodsWe conducted a three-round modified Delphi process. After distributing an initial free-text questionnaire to all collaborators, we created structured questions, followed by two rounds of anonymized voting. We defined strong consensus as ≥ 75% agreement and weak consensus as ≥ 50% but < 75% agreement.

resultsForty-six experts agreed to take part in the study and 36 (78%) completed all the voting rounds. Regional anesthesia practice parameters with strong consensus included hand hygiene using alcohol scrub rather than soap and water, sterile gowns being unnecessary for single-injection RA techniques, only minimal equipment in the premade packs, and goal-directed use of sedation and supplemental oxygen. DISCUSSION: We obtained consensus on the safe and environmentally responsible practice of RA for both single-injection and indwelling catheter techniques and identified areas of research focus. While more robust evidence is being generated, clinicians may use these findings as a guide to infection prevention and environmental sustainability in their anesthesia practice.

Indexed as

Anesthesia, ConductionAnesthesiologistsCanadaDelphi TechniqueHumansInfection ControlSocieties, MedicalSurveys and Questionnairesanesthesia practiceDelphi studyenvironmentally responsibleregional anesthesiaresource stewardshipsustainable practice

Identifiers

PMID40097901

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.