A survey of current practices, attitudes and demands of anaesthesiologists regarding the depth of anaesthesia monitoring in China
Abstract Background In this study, we aimed to analyse survey data to explore two different hypotheses; and for this purpose, we distributed an online survey to Chinese anaesthesiologists. The hypothetical questions in this survey include: (1) Chinese anaesthesiologists mainly use the depth of anaes...
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| Format: | Article |
| Language: | English |
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BMC
2021-11-01
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| Series: | BMC Anesthesiology |
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| Online Access: | https://doi.org/10.1186/s12871-021-01510-7 |
| _version_ | 1818750982715080704 |
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| author | Jian Zhan Ting-Ting Yi Zhuo-Xi Wu Zong-Hong Long Xiao-Hang Bao Xu-Dong Xiao Zhi-Yong Du Ming-Jun Wang Hong Li |
| author_facet | Jian Zhan Ting-Ting Yi Zhuo-Xi Wu Zong-Hong Long Xiao-Hang Bao Xu-Dong Xiao Zhi-Yong Du Ming-Jun Wang Hong Li |
| author_sort | Jian Zhan |
| collection | DOAJ |
| description | Abstract Background In this study, we aimed to analyse survey data to explore two different hypotheses; and for this purpose, we distributed an online survey to Chinese anaesthesiologists. The hypothetical questions in this survey include: (1) Chinese anaesthesiologists mainly use the depth of anaesthesia (DoA) monitors to prevent intraoperative awareness and (2) the accuracy of these monitors is the most crucial performance factor during the clinical daily practice of Chinese anaesthesiologists. Methods We collected and statistically analysed the response of a total of 12,750 anesthesiologists who were invited to participate in an anonymous online survey. The Chinese Society of Anaesthesiologists (CSA) trial group provided the email address of each anaesthesiologist, and the selection of respondents was random from the computerized system. Results The overall response rate was 32.0% (4037 respondents). Only 9.1% (95% confidence interval, 8.2-10.0%) of the respondents routinely used DoA monitors. Academic respondents (91.5, 90.3-92.7%) most frequently used DoA monitoring to prevent awareness, whereas nonacademic respondents (88.8, 87.4-90.2%) most frequently used DoA monitoring to guide the delivery of anaesthetic agents. In total, the number of respondents who did not use a DoA monitor and whose patients experienced awareness (61.7, 57.8-65.6%) was significantly greater than those who used one or several DoA monitors (51.5, 49.8-53.2%). Overall, the crucial performance factor during DoA monitoring was considered by 61.9% (60.4-63.4%) of the respondents to be accuracy. However, most respondents (95.7, 95.1-96.3%) demanded improvements in the accuracy of the monitors for DoA monitoring. In addition, broad application in patients of all ages (86.3, 85.2-87.4%), analgesia monitoring (80.4, 79.2-81.6%), and all types of anaesthetic agents (75.6, 74.3-76.9%) was reported. In total, 65.0% (63.6-66.5%) of the respondents believed that DoA monitors should be combined with EEG and vital sign monitoring, and 53.7% (52.1-55.2%) believed that advanced DoA monitors should include artificial intelligence. Conclusions Academic anaesthesiologists primarily use DoA monitoring to prevent awareness, whereas nonacademic anaesthesiologists use DoA monitoring to guide the delivery of anaesthetics. Anaesthesiologists demand high-accuracy DoA monitors incorporating EEG signals, multiple vital signs, and antinociceptive indicators. DoA monitors with artificial intelligence may represent a new direction for future research on DoA monitoring. |
| first_indexed | 2024-12-18T04:28:20Z |
| format | Article |
| id | doaj.art-a40d6021677e43ca9e9ccc7a89f3f259 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-18T04:28:20Z |
| publishDate | 2021-11-01 |
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| series | BMC Anesthesiology |
| spelling | doaj.art-a40d6021677e43ca9e9ccc7a89f3f2592022-12-21T21:21:02ZengBMCBMC Anesthesiology1471-22532021-11-0121111010.1186/s12871-021-01510-7A survey of current practices, attitudes and demands of anaesthesiologists regarding the depth of anaesthesia monitoring in ChinaJian Zhan0Ting-Ting Yi1Zhuo-Xi Wu2Zong-Hong Long3Xiao-Hang Bao4Xu-Dong Xiao5Zhi-Yong Du6Ming-Jun Wang7Hong Li8Department of Anaesthesiology, Second Affiliated Hospital of Army Medical UniversityDepartment of Anaesthesiology, Yongchuan Hospital, Chongqing Medical UniversityDepartment of Anaesthesiology, Second Affiliated Hospital of Army Medical UniversityDepartment of Anaesthesiology, Second Affiliated Hospital of Army Medical UniversityDepartment of Anaesthesiology, Second Affiliated Hospital of Army Medical UniversityDepartment of Anaesthesiology, Second Affiliated Hospital of Army Medical UniversityDepartment of Anaesthesiology, Second Affiliated Hospital of Army Medical UniversityDepartment of Anaesthesiology, The First Medical Center of Chinese PLA General HospitalDepartment of Anaesthesiology, Second Affiliated Hospital of Army Medical UniversityAbstract Background In this study, we aimed to analyse survey data to explore two different hypotheses; and for this purpose, we distributed an online survey to Chinese anaesthesiologists. The hypothetical questions in this survey include: (1) Chinese anaesthesiologists mainly use the depth of anaesthesia (DoA) monitors to prevent intraoperative awareness and (2) the accuracy of these monitors is the most crucial performance factor during the clinical daily practice of Chinese anaesthesiologists. Methods We collected and statistically analysed the response of a total of 12,750 anesthesiologists who were invited to participate in an anonymous online survey. The Chinese Society of Anaesthesiologists (CSA) trial group provided the email address of each anaesthesiologist, and the selection of respondents was random from the computerized system. Results The overall response rate was 32.0% (4037 respondents). Only 9.1% (95% confidence interval, 8.2-10.0%) of the respondents routinely used DoA monitors. Academic respondents (91.5, 90.3-92.7%) most frequently used DoA monitoring to prevent awareness, whereas nonacademic respondents (88.8, 87.4-90.2%) most frequently used DoA monitoring to guide the delivery of anaesthetic agents. In total, the number of respondents who did not use a DoA monitor and whose patients experienced awareness (61.7, 57.8-65.6%) was significantly greater than those who used one or several DoA monitors (51.5, 49.8-53.2%). Overall, the crucial performance factor during DoA monitoring was considered by 61.9% (60.4-63.4%) of the respondents to be accuracy. However, most respondents (95.7, 95.1-96.3%) demanded improvements in the accuracy of the monitors for DoA monitoring. In addition, broad application in patients of all ages (86.3, 85.2-87.4%), analgesia monitoring (80.4, 79.2-81.6%), and all types of anaesthetic agents (75.6, 74.3-76.9%) was reported. In total, 65.0% (63.6-66.5%) of the respondents believed that DoA monitors should be combined with EEG and vital sign monitoring, and 53.7% (52.1-55.2%) believed that advanced DoA monitors should include artificial intelligence. Conclusions Academic anaesthesiologists primarily use DoA monitoring to prevent awareness, whereas nonacademic anaesthesiologists use DoA monitoring to guide the delivery of anaesthetics. Anaesthesiologists demand high-accuracy DoA monitors incorporating EEG signals, multiple vital signs, and antinociceptive indicators. DoA monitors with artificial intelligence may represent a new direction for future research on DoA monitoring.https://doi.org/10.1186/s12871-021-01510-7Depth of anaesthesiaAnaesthesiologistsAwarenessAnalgesiaArtificial intelligence |
| spellingShingle | Jian Zhan Ting-Ting Yi Zhuo-Xi Wu Zong-Hong Long Xiao-Hang Bao Xu-Dong Xiao Zhi-Yong Du Ming-Jun Wang Hong Li A survey of current practices, attitudes and demands of anaesthesiologists regarding the depth of anaesthesia monitoring in China BMC Anesthesiology Depth of anaesthesia Anaesthesiologists Awareness Analgesia Artificial intelligence |
| title | A survey of current practices, attitudes and demands of anaesthesiologists regarding the depth of anaesthesia monitoring in China |
| title_full | A survey of current practices, attitudes and demands of anaesthesiologists regarding the depth of anaesthesia monitoring in China |
| title_fullStr | A survey of current practices, attitudes and demands of anaesthesiologists regarding the depth of anaesthesia monitoring in China |
| title_full_unstemmed | A survey of current practices, attitudes and demands of anaesthesiologists regarding the depth of anaesthesia monitoring in China |
| title_short | A survey of current practices, attitudes and demands of anaesthesiologists regarding the depth of anaesthesia monitoring in China |
| title_sort | survey of current practices attitudes and demands of anaesthesiologists regarding the depth of anaesthesia monitoring in china |
| topic | Depth of anaesthesia Anaesthesiologists Awareness Analgesia Artificial intelligence |
| url | https://doi.org/10.1186/s12871-021-01510-7 |
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