Evidence map›Paper›PMID 40126669›Full record

ReviewDie Anaesthesiologie2025

[Updated position paper on "Ecological sustainability in anesthesiology and intensive care medicine" with specific recommendations for action of the German Society for Anesthesiology and Intensive Care Medicine and the Professional Association of German Anesthesiologists-Update 2024 : Compiled by the Forum Sustainability in Anesthesiology from the Professional Association of German Anesthesiologists (BDA) and the German Society for Anesthesiology and Intensive Care Medicine (DGAI)].

Martin Schuster, Hannah Richter, Sabine Pecher, Thomas Bein, Linda Grüßer, Ana Kowark, Ferdinand Lehmann, Charlotte Samwer, Thorsten Brenner, Mark Coburn

Abstract readEnglish AbstractReviewConsensus Statement
PubMed Publisher
In one paragraph

Review in Die Anaesthesiologie, 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. 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

10 authors.

Martin SchusterKlinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, RKH-Kliniken Landkreis Karlsruhe, Fürst-Stirum-Klinik Bruchsal und Rechbergklinik Bretten, Akademische Lehrkrankenhäuser der Universität Heidelberg, Gutleutstr. 1-14, 76646, Bruchsal, Deutschland. martin.schuster@rkh-gesundheit.de.ORCID 0000-0001-5946-4166
Hannah RichterKlinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, RKH-Kliniken Landkreis Karlsruhe, Fürst-Stirum-Klinik Bruchsal und Rechbergklinik Bretten, Akademische Lehrkrankenhäuser der Universität Heidelberg, Gutleutstr. 1-14, 76646, Bruchsal, Deutschland.
Sabine PecherKlinik für Anästhesie und Intensivmedizin, Diakonie Klinikum Stuttgart, Stuttgart, Deutschland.
Thomas Bein, Regensburg, Deutschland.
Linda GrüßerKlinik für Anästhesiologie, Universitätsklinikum RWTH Aachen, Aachen, Deutschland.
Ana KowarkKlinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Bonn, Bonn, Deutschland.
Ferdinand LehmannKlinik für Anästhesie, Intensivmedizin und Schmerztherapie, Vivantes Klinikum im Friedrichshain, Berlin, Deutschland.
Charlotte SamwerKlinik für Anästhesiologie mit Schwerpunkt Intensivmedizin, Campus Charité Mitte und Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Deutschland.
Thorsten BrennerKlinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Essen, Universität Duisburg-Essen, Essen, Deutschland.
Mark CoburnKlinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Bonn, Bonn, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anthropogenic climate change is progressing, with global warming now reaching 1.1 °C. At the same time, further environmental crises that jeopardize the conservation of our natural resources can be observed. The effects on health are obvious and we are already witnessing them in Germany.The healthcare sector itself contributes to a relevant extent to national greenhouse gas emissions and the field of anesthesiology and intensive care medicine is a particularly resource-intensive area. For this reason, the Professional Association of German Anesthesiologists (BDA) and the German Society of Anesthesiology and Intensive Care Medicine (DGAI) were among the first professional associations and medical societies to publish a position paper entitled "Ecological sustainability in anesthesiology and intensive care medicine" in 2020. This is now available in an updated version from November 2024.It contains 33 specific recommendations in the following 7 areas: 1) the use of volatile anesthetics and other medications, 2) the use of consumables, 3) waste management, 4) sustainable mobility concepts, 5) energy-saving measures in the operating theater and intensive care unit, 6) research and teaching and 7) strategies to mitigate the impact of environmental changes on healthcare services in our discipline. This paper summarizes the recommendations. It explains the main changes compared to the 2020 version, with a particular focus on the new evidence behind the recommendations. The specific recommendations are intended to help anesthetists to initiate changes in everyday clinical practice, interprofessionally and in cooperation with other disciplines, which affect their own area of work and the entire hospital.

Indexed as

AnesthesiologyConservation of Natural ResourcesCritical CareClimate ChangeGermanyHumansSocieties, MedicalWaste ManagementAnesthesiologyClimate changeCO2 emissionRecommendationsSustainability

Identifiers

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.