Evidence map›Paper›PMID 40348671›Full record

SynthesisBritish journal of anaesthesia2025

Effects of departmental green anaesthesia interventions on carbon dioxide equivalent emissions: a systematic review.

Sascha Hammer, Michael Eichlseder, Christoph Klivinyi, Kordula Lang-Illievich, Angelika Moser, Alexander Pichler, Nikolaus Schreiber, Philipp Zoidl, Helmar Bornemann-Cimenti

Erratum issuedAbstract readSystematic Review
In one paragraph

Synthesis in British journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Sascha HammerDepartment of Anesthesiology and Intensive Care Medicine, Medical University of Graz, Graz, Austria.
Michael EichlsederDepartment of Anesthesiology and Intensive Care Medicine, Medical University of Graz, Graz, Austria.
Christoph KlivinyiDepartment of Anesthesiology and Intensive Care Medicine, Medical University of Graz, Graz, Austria.
Kordula Lang-IllievichDepartment of Anesthesiology and Intensive Care Medicine, LKH Güssing, Güssing, Austria.
Angelika MoserDepartment of Anesthesiology and Intensive Care Medicine, LKH Güssing, Güssing, Austria.
Alexander PichlerDepartment of Anesthesiology and Intensive Care Medicine, Medical University of Graz, Graz, Austria.
Nikolaus SchreiberDepartment of Anesthesiology and Intensive Care Medicine, Medical University of Graz, Graz, Austria.
Philipp ZoidlDepartment of Anesthesiology and Intensive Care Medicine, Medical University of Graz, Graz, Austria.
Helmar Bornemann-CimentiDepartment of Anesthesiology and Intensive Care Medicine, Medical University of Graz, Graz, Austria. Electronic address: helmar.bornemann@medunigraz.at.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnaesthesia contributes to greenhouse gas emissions and can play a crucial role in reducing the carbon footprint of the global healthcare sector. The aim of this systematic review is to identify which departmental interventions influence estimated carbon dioxide (CO

methodsA systematic literature search was conducted through four major electronic databases (Cochrane Library, Embase, MEDLINE, and PubMed) for studies investigating the changes in CO

resultsOf 3987 screened studies, 13 met the criteria for quantitative synthesis and showed low to moderate risk of bias. The following types of departmental sustainability interventions were found: education of staff, decreased use of desflurane and sevoflurane, promotion of TIVA, use of low fresh gas flows, proper waste management, and formation of green teams. The postinterventional total mean decrease of CO

conclusionsOur analysis demonstrates the substantial CO

Indexed as

AnesthesiaAnesthesia Department, HospitalCarbon DioxideAnesthetics, InhalationCarbon FootprintGreenhouse GasesHumansAnesthetics, InhalationCarbon DioxideGreenhouse Gasescarbon dioxide equiavalent emissionscarbon emissionseducationgreenhouse gassustainability

Identifiers

PMID40348671
PMCPMC12226751

What OpenQuestion holds

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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.