Evidence map›Paper›PMID 41915204›Full record

ReviewChirurgie (Heidelberg, Germany)2026

[Sustainable anesthesia].

Theresa Dölker, Linda Grüßer, Hannah Richter, Sabine Pecher, Charlotte Samwer, Jan Larmann, Despina Panagiotidis

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Chirurgie (Heidelberg, Germany), 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.

Theresa DölkerKlinik für Anästhesiologie, Medizinische Fakultät RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Deutschland.
Linda GrüßerKlinik für Anästhesiologie, Medizinische Fakultät RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Deutschland. lgruesser@ukaachen.de.
Hannah RichterKlinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, RKH-Kliniken Landkreis Karlsruhe, Karlsruhe, Deutschland.
Sabine PecherKlinik für Anästhesie und Intensivmedizin, Diakonie Klinikum Stuttgart, Stuttgart, Deutschland.
Charlotte SamwerKlinik für Anästhesiologie mit Schwerpunkt Intensivmedizin, Campus Charité Mitte und Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Deutschland.
Jan LarmannKlinik für Anästhesiologie, Medizinische Fakultät RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Deutschland.
Despina PanagiotidisKlinik für Anästhesiologie, Medizinische Fakultät RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe healthcare sector in Germany accounts for approximately 6-7% of national greenhouse gas emissions. Anesthesiology was among the first medical disciplines to publish recommendations on reducing the climate-damaging effects of medical procedures.

objectiveThis article summarizes the development of sustainability in the field of anesthesiology, explains key concepts and outlines specific measures to reduce environmental impacts. MATERIAL AND

methodsThe article is based on a literature review of position and consensus statements from national and international professional societies and of scientific publications on anesthesia-related greenhouse gas emissions. Measures to improve sustainability in the field of anesthesiology are categorized and discussed.

resultsStrategies for sustainable transformation in healthcare take ecological, economic and social aspects into account. Approaches identified by German and European professional associations include reducing inhalation anesthetics through minimal fresh gas flows, avoiding desflurane and nitrous oxide, using total intravenous anesthesia (TIVA) or regional anesthesia, optimizing waste management according to the 5Rs principle and improving energy savings.

conclusionThe recommendations from anesthesiology associations demonstrate that sustainable practice in anesthesiology is possible and should be systematically implemented into daily routines. Further research in the field of sustainability is required. Interdisciplinary cooperation between anesthesia, surgical disciplines and hospital management is essential for the successful implementation of sustainability measures.

Indexed as

AnesthesiaAnesthesiologyGreenhouse EffectGreenhouse GasesAnesthetics, InhalationGermanyHumansAnesthetics, InhalationGreenhouse GasesFresh gas flowGreenhouse gas emissionsInhalational anesthetic agentsPosition paperSustainability transformation

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.