Evidence map›Paper›PMID 41991685›Full record

ReviewDie Anaesthesiologie2026

[Therapeutic impoverishment in modern anesthesiology-Between safety culture, regulations and loss of clinical diversity : A critical analysis].

Daniel Chappell, Peter Kranke

Abstract readEnglish AbstractReview
PubMed Publisher
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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Die Anaesthesiologie · 2026
    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

2 authors.

Daniel ChappellKlinik für Anästhesiologie, operative Intensivmedizin, Notfallmedizin und Schmerztherapie, Klinikum Frankfurt Höchst GmbH, Gotenstr. 6-8, 65929, Frankfurt am Main, Deutschland. daniel.chappell@varisano.de.
Peter KrankeKlinik und Poliklinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Universitätsklinikum Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland. kranke_p@ukw.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traditionally, anesthesiology has been a discipline with a broad pharmacological spectrum. In recent years, however, there has been a clear trend toward reducing this range of therapeutic options. Numerous well-established agents have lost importance in many hospitals or have disappeared entirely from the routine clinical practice. This decline is only partly based on new evidence, more often, didactic simplification, cultural standardization, ecological discussions and regulatory interventions by authorities play a decisive role. This article analyzes the causes and mechanisms of this therapeutic impoverishment and compares these developments with other medical disciplines. Finally, it outlines ways in which indication-based, evidence-oriented and differentiated pharmacotherapy in anesthesiology can be strengthened once again.

Indexed as

AnesthesiologyPatient SafetyGermanyHumansAnesthesiologyPatient safetyPharmacotherapyRegulationSupply chain

Identifiers

PMID41991685

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.