Introducing the Safe Brain Initiative's EEG boot camp for anaesthesia for standardised training on how to use the electroencephalogram for perioperative care. - 2025
Introducing the Safe Brain Initiative's EEG boot camp for anaesthesia for standardised training on how to use the electroencephalogram for perioperative care.
von Dincklage, Falk; Helfrich, Janna; Koch, Susanneet al.
Anaesthesia; Electroencephalogram; Monitoring; Training; Humans; Male; Health Knowledge, Attitudes, Practice; Female; Clinical Competence; Electroencephalography/methods; Perioperative Care/methods; Anesthesiology/education; Anesthesia, General/methods; Anesthesia, General; Anesthesiology; Electroencephalography; Perioperative Care; Anesthesiology and Pain Medicine
Abstract :
[en] [en] BACKGROUND: Monitoring the brain under general anaesthesia using the electroencephalogram (EEG) can help to optimise anaesthetic levels and improve patient outcomes. Therefore, it has been recommended by several societies and organisations. Yet, many clinicians only consider the processed indices, even though they are prone to interference and their information value is limited in many situations. To use EEG monitoring systems to their full potential, clinicians need to be able to integrate all information provided. Here, we introduce a structured teaching course and evaluate its effect on the participants' knowledge and attitudes.
METHODS: The course contents were derived from learning goals, that we considered as required to leverage the full potential of the EEG monitoring systems. The course structure was built using several didactic tools to facilitate learning, including a high level of algorithmisation as well as tools for knowledge repetition, activation, and transfer. To investigate the effects of the course, we compared the participants' self-ratings of their knowledge with regard to the learning goals as well as their attitudes towards using EEG monitoring before and after the course. For this purpose, we anonymously questioned the participants of one course conducted in Greifswald/Germany in December 2023.
RESULTS: The ratings of 36 participants before and after the course show that participation led to a significant improvement in knowledge throughout all learning goals (paired Wilcoxon signed-rank tests, p < 0.001 for each learning goal). Self-ratings of knowledge and competence increased across all learning goals from a mean of 1.9 before the course to 4.0 after the course, rated on Likert scales between 0 ('No knowledge/competency') and 5 ('Expert knowledge/competency'). Furthermore, the attitude towards applying EEG monitoring during general anaesthesia improved significantly (paired Wilcoxon signed-rank test, p = 0.019) from 3.0 ± 1.7 to 3.8 ± 1.2 (mean ± sd), rated on a Likert scale between 0 ('never') and 5 ('always').
CONCLUSIONS: We show that the course improves the participants' self-ratings of knowledge with and attitude towards EEG monitoring. By providing teaching methods and resources with standardized contents we aim to facilitate training of the highest quality and motivating clinicians to improve anaesthesia practice, and ultimately patient outcome.
Disciplines :
Anesthesia & intensive care
Author, co-author :
von Dincklage, Falk; Department of Anaesthesia, Intensive Care, Emergency and Pain Medicine, University Medicine Greifswald, Greifswald, Germany
Helfrich, Janna; Department of Anaesthesiology, Yale School of Medicine, New Haven, United States
Koch, Susanne; Department of Anaesthesiology IRS, Nykøbing F. Hospital, Nykøbing Falster, Denmark ; Department of Anaesthesiology, Charité - University Medicine Berlin, Berlin, Germany
Soehle, Martin; Department of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Bonn, Germany
Berger-Estilita, Joana; Institute of Anaesthesiology and Intensive Care, Hirslanden Medical Group, SalemspitalBern, Switzerland ; Institute for Medical Education, University of Bern, Bern, Switzerland ; Centre for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal
Bublitz, Viktor; Department of Anaesthesia, Intensive Care, Emergency and Pain Medicine, University Medicine Greifswald, Greifswald, Germany. vik.bublitz@gmail.com
Bonhomme, Vincent ; Université de Liège - ULiège > Département des sciences cliniques > Anesthésie et réanimation
Sleigh, Jamie; Department of Anaesthesiology, Waikato Clinical Campus, University of Auckland, Hamilton, New Zealand
Schneider, Gerhard; Department of Anaesthesiology and Intensive Care, School of Medicine and Health, Technical University of Munich, Munich, Germany
Kreuzer, Matthias; Department of Anaesthesiology and Intensive Care, School of Medicine and Health, Technical University of Munich, Munich, Germany
Radtke, Finn; Department of Anaesthesia, Intensive Care, Emergency and Pain Medicine, University Medicine Greifswald, Greifswald, Germany ; Department of Anaesthesiology IRS, Nykøbing F. Hospital, Nykøbing Falster, Denmark
Language :
English
Title :
Introducing the Safe Brain Initiative's EEG boot camp for anaesthesia for standardised training on how to use the electroencephalogram for perioperative care.
American Society of Anesthesiology. 2023. https://www.asahq.org/standards-andpractice-parameters/standards-for-basic-anaesthetic-monitoring.
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