Evidence map›Paper›PMID 40926067›Full record

Observational studyDie Anaesthesiologie2025

Readiness for climate change mitigation among anesthesiologists : A before and after study at three German university hospitals.

A A W Baumann, L Grüßer, T Dölker, F Lehmann, A Kowark, S Ziemann, D P Obert, J Schuler, M Sander, G Schneider and 3 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study 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. Intraoperative ventilation settings in Germany: an observational multicentre cross-sectional study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026
    Article
  2. [Sustainable anesthesia].Chirurgie (Heidelberg, Germany) · 2026
    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

13 authors.

A A W BaumannTUM School of Medicine and Health, Klinikum rechts der Isar, Department of Anesthesiology and Intensive Care, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany. Adrian.baumann@posteo.de.
L GrüßerRWTH Aachen, Aachen University Hospital, Department of Anesthesiology, Aachen, Germany.
T DölkerRWTH Aachen, Aachen University Hospital, Department of Anesthesiology, Aachen, Germany.
F LehmannUniversity Hospital of Giessen, Department of Anesthesiology and Intensive Care Medicine, University of Giessen and Marburg, Giessen, Germany.
A KowarkUniversity Hospital Bonn, Clinic of Anaesthesiology and Intensive Care, University of Bonn, Bonn, Germany.
S ZiemannRWTH Aachen, Aachen University Hospital, Department of Anesthesiology, Aachen, Germany.
D P ObertTUM School of Medicine and Health, Klinikum rechts der Isar, Department of Anesthesiology and Intensive Care, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
J SchulerRWTH Aachen, Aachen University Hospital, Department of Anesthesiology, Aachen, Germany.
M SanderUniversity Hospital of Giessen, Department of Anesthesiology and Intensive Care Medicine, University of Giessen and Marburg, Giessen, Germany.
G SchneiderTUM School of Medicine and Health, Klinikum rechts der Isar, Department of Anesthesiology and Intensive Care, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
C M SchulzKLUG - Deutsche Allianz Klimawandel und Gesundheit e. V., Berlin, Germany.
F SchneiderTUM School of Medicine and Health, Klinikum rechts der Isar, Department of Anesthesiology and Intensive Care, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
N ConwayTUM School of Medicine and Health, Klinikum rechts der Isar, Department of Anesthesiology and Intensive Care, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical societies around the world are exploring strategies to reduce their carbon footprint. In this context, organizational readiness can serve as an important facilitator for the success of change. In this study we assessed whether a series of educational interventions improved anesthesia departments' organizational readiness for climate change mitigation.

methodsAnesthesiologists at three German university hospitals were asked to complete a survey on their departments' organizational readiness for climate change mitigation before and after an educational intervention bundle featuring lectures, posters and stickers was conducted. The second survey included additional questions about the use of climate-friendly low-flow and minimal-flow techniques.

resultsA total of 422 questionnaires were completed, 256 of them prior to the interventions. Most participants noticed the interventions and mostly rated them as "good" or "rather good". We found high overall levels of organizational readiness. Agreement to statements in the subcategories of cultural and staff readiness increased from a low baseline level. Participants reported an increased use of minimal-flow techniques (51.6% vs. 66.3% endotracheal tube) and of low-flow techniques (41.0% vs. 57.8% laryngeal mask) during inhalational anesthesia.

conclusionFollowing our educational intervention bundle, organizational readiness at the participating institutions increased and a reduction in consumption of volatile anesthetics was reported. Pending proof of causality, these results encourage further exploration and the application of educational interventions on climate change mitigation in anesthesiology.

Indexed as

AnesthesiologistsAnesthesiologyClimate ChangeHospitals, UniversityAdultAttitude of Health PersonnelCarbon FootprintFemaleGermanyHumansMaleMiddle AgedSurveys and QuestionnairesAnesthesiaFresh gas flowOrganizational readinessProvider educationSustainability

Identifiers

PMID40926067
PMCPMC12484283

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.