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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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Depth of anaesthesia Anaesthesiologists Awareness Analgesia Artificial intelligence Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/a40d6021677e43ca9e9ccc7a89f3f259
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spelling	oai:doaj.org-article:a40d6021677e43ca9e9ccc7a89f3f2592021-11-28T12:09:41ZA survey of current practices, attitudes and demands of anaesthesiologists regarding the depth of anaesthesia monitoring in China10.1186/s12871-021-01510-71471-2253https://doaj.org/article/a40d6021677e43ca9e9ccc7a89f3f2592021-11-01T00:00:00Zhttps://doi.org/10.1186/s12871-021-01510-7https://doaj.org/toc/1471-2253Abstract 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.Jian ZhanTing-Ting YiZhuo-Xi WuZong-Hong LongXiao-Hang BaoXu-Dong XiaoZhi-Yong DuMing-Jun WangHong LiBMCarticleDepth of anaesthesiaAnaesthesiologistsAwarenessAnalgesiaArtificial intelligenceAnesthesiologyRD78.3-87.3ENBMC Anesthesiology, Vol 21, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Depth of anaesthesia Anaesthesiologists Awareness Analgesia Artificial intelligence Anesthesiology RD78.3-87.3
spellingShingle	Depth of anaesthesia Anaesthesiologists Awareness Analgesia Artificial intelligence Anesthesiology RD78.3-87.3 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
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.
format	article
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
title	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_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_sort	survey of current practices, attitudes and demands of anaesthesiologists regarding the depth of anaesthesia monitoring in china
publisher	BMC
publishDate	2021
url	https://doaj.org/article/a40d6021677e43ca9e9ccc7a89f3f259
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A survey of current practices, attitudes and demands of anaesthesiologists regarding the depth of anaesthesia monitoring in China

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