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    Cluster analyses of contemporary embalming protocols in central European anatomy institutions:
    a collaborative effort to minimize chemical exposure (2025)

    Art
    Zeitschriftenartikel / wissenschaftlicher Beitrag
    Autoren
    Mohebimoushaei, Sara
    Antipova, Veronica
    Biedermann, Uta
    Brand-Saberi, Beate
    Bräuer, Lars
    Caspers, Svenja
    Doll, Sara
    Engelhardt, Maren
    Filler, Timm J.
    Gericke, Martin
    Gümüsalan, Yakup
    Gundlach, Stefanie
    Hayn-Leichsenring, Gregor U.
    Heermann, Stephan
    Hiepe, Laura
    Hirt, Bernhard
    Hirtler, Lena
    Kulisch, Christoph
    Konschake, Marko
    Kürten, Stefanie
    Lange, Tobias
    Lorenz, Mario
    Nassenstein, Christina
    Neckel, Peter H.
    Nimtschke, Ute
    Paulsen, Friedrich
    Prescher, Andreas
    Pretterklieber, Michael L.
    Schmiedl, Andreas
    Schumann, Sven
    Spindler, Volker
    Schulze-Tanzil, Gundula
    Tschernig, Thomas
    Unverzagt, Axel
    Valentiner, Ursula
    Varga, Ivan
    Wedel, Thilo
    Weigner, Janet (WE 1)
    Weninger, Wolfgang J.
    Westermann, Jürgen
    Wimmer-Roell, Monika
    Waschke, Jens
    Hammer, Niels
    Quelle
    Annals of anatomy / Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft
    Bandzählung: 260
    Seiten: 152403
    ISSN: 0940-9602
    Sprache
    Englisch
    Verweise
    URL (Volltext): https://www.sciencedirect.com/science/article/pii/S0940960225000305?via%3Dihub
    DOI: 10.1016/j.aanat.2025.152403
    Pubmed: 40118157
    Kontakt
    Institut für Veterinär-Anatomie

    Koserstr. 20
    14195 Berlin
    +49 30 838 75784
    anatomie@vetmed.fu-berlin.de

    Abstract / Zusammenfassung

    Background
    Anatomical embalming forms a mainstay in the provision of teaching materials based on human post-mortem tissues. As a consequence of regulations worldwide to minimize the use of formaldehyde due to its harmful nature, effective measures must be taken to minimize its application in the anatomy laboratory. This study aimed to identify commonalities among embalming protocols used in Austrian, German and Swiss anatomies to reduce formaldehyde usage and provide a foundation for joint accreditation.

    Methods
    Survey data on all procedures, technologies and chemicals related to embalming were collected from 28 participating institutions and analyzed using an automated clustering approach. Special attention was given to chemicals, explosion-proof facilities, and air ventilation technology. After conducting principal component analyses, the data was evaluated using an unsupervised K-means learning algorithm.

    Results
    Six distinct clusters of common chemical usage were identified, namely (1) Thiel embalming with explosion-proof facilities, (2) potassium- and sodium salt-based embalming with downdraft ventilation, (3) ethanol/glycerin/glutaraldehyde/sodium alkyl ether sulphate-based embalming, (4) ethanol-based embalming, (5) formaldehyde-based embalming, and (6) ethanol/phenoxyethanol/alkyl (C12–16) dimethylbenzyl ammoniumchloride-based embalming. All clusters included the use of formaldehyde to varying extent. These clusters demonstrated high stability for fixation, combined fixation and conservation, as well as the incorporation of explosion-proof facilities and air ventilation technology. Moreover, a number of institutions used more than one similar protocol, so-called ‘Superclusters’, with Clusters (4) and (1) or Clusters (5) and (1) combined being the most common observation.

    Conclusion
    These findings provide a basis for optimizing, streamlining and sharing embalming protocols among central European anatomy institutions.