Evidence map›Paper›PMID 41553516›Full record

ReviewDie Anaesthesiologie2026

[Work-related fatigue in anesthesia and intensive care medicine : Review article on a structural problem].

Gerrit Herpertz, Friederike Roesch, Igor Abramovich, Alexandra Trinks, Verena Ghezel-Ahmadi, Martina Nowak-Machen, Karin Becke-Jakob

Abstract readEnglish AbstractReview
In one paragraph

Review in Die Anaesthesiologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Gerrit HerpertzUniversitätsklinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Klinikum Oldenburg AöR, Rahel-Straus-Straße 10, 26133, Oldenburg, Deutschland.
Friederike RoeschKlinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Klinikum Ludwigsburg, Ludwigsburg, Deutschland.
Igor AbramovichDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, CA, USA. Igor.Abramovich@ucsf.edu.
Alexandra TrinksKlinik für Anästhesiologie, Klinikum der Universität München (LMU), München, Deutschland.
Verena Ghezel-AhmadiKlinik für Anästhesie, Operative Intensivmedizin und Schmerztherapie, Universitätsklinikum Mannheim GmbH, Mannheim, Deutschland.
Martina Nowak-MachenKlinik für Anästhesie und Intensivmedizin, Palliativ- und Schmerzmedizin, Klinikum Ingolstadt, Ingolstadt, Deutschland.
Karin Becke-JakobAnästhesiologie, Universitäts-Kinderspital beider Basel UKBB, Basel, Schweiz.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Work-related fatigue is a serious psychophysiological phenomenon characterized by exhaustion, impaired concentration, reduced alertness and diminished decision-making capacity. It often results from disrupted sleep patterns and shift work and increases the risk of critical incidents in the clinical practice. Anesthetists are particularly affected as irregular working hours and frequent night shifts disrupt their circadian rhythms. Although fatigue is reversible with appropriate measures, it remains largely unrecognized as a structural issue within the German healthcare system.Over recent decades the working conditions across European healthcare settings have steadily deteriorated, a trend that culminated during the COVID-19 pandemic. This period clearly highlighted the urgent need to prioritize the well-being of healthcare professionals. The aim of this review article is to raise awareness of fatigue and provide insights into effective management strategies. It explores both international concepts and local solutions relevant to the German system.This review and analysis are based on studies and material developed as part of the European "Fatigue Project" and the "Fight Fatigue" campaign. It examines the effects of fatigue across all career stages and identifies practical strategies for risk reduction.The results show that fatigue affects anesthetists at all stages of their careers. Structured fatigue management is therefore a vital component of sustainable healthcare provision. In particular, fatigue risk management systems and optimized shift work planning have proven effective in reducing the burden on personnel and enhancing patient safety.

Indexed as

AnesthesiologyCritical CareFatigueOccupational DiseasesCOVID-19GermanyHumansShift Work ScheduleWork Schedule ToleranceBurnoutHuman RessourcesPatient safetyPreventionShift work

Identifiers

PMID41553516
PMCPMC12855436

What OpenQuestion holds

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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.