ReviewAnesthesia and analgesia2020
American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on the Role of Neuromonitoring in Perioperative Outcomes: Electroencephalography.
Review in Anesthesia and analgesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05701748 (EEG to Monitor Propofol Anesthetic Depth in Infants and Toddlers), which is not on this map. Cited by 41 papers, 2 of them syntheses that pooled 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.
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.
EEG to Monitor Propofol Anesthetic Depth in Infants and Toddlers
Who cites it
41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 124 citations in OpenAlex.
- EEG-guided sevoflurane anesthesia vs. standard care in pediatric emergence delirium: a grade-assessed systematic review and meta-analysis with trial sequential analysis.Journal of anesthesia · 2026Pooled it
- Changes in the Term Neonatal Electroencephalogram with General Anesthesia: A Systematic Review with Narrative Synthesis.Anesthesiology · 2024Pooled it
- Anaesthetic depth and delirium after major surgery: a randomised clinical trial.British journal of anaesthesia · 2021Trial
- Making brain monitoring routine: why processed EEG monitoring should be standard practice.Journal of clinical monitoring and computing · 2026Article
- Effects of sustained Trendelenburg position on the spectral signatures of the EEG: implications for the consistency of the level of anesthesia, an observational study.Journal of clinical monitoring and computing · 2026Observational
- Indian expert consensus on intra-operative consciousness monitoring using processed electroencephalogram-based indices: A Delphi-based approach.Indian journal of anaesthesia · 2026Article
- Enhancing Anesthetic Depth Assessment via Unsupervised Machine Learning in Processed Electroencephalography Analysis: Novel Methodological Study.JMIR medical informatics · 2026Article
- Safety and Efficacy of Intraoperative Neuromonitoring: An Umbrella Review.Health science reports · 2025Review
- Quantitative electroencephalogram and machine learning to predict expired sevoflurane concentration in infants.Journal of clinical monitoring and computing · 2025Article
- Introducing the Safe Brain Initiative's EEG boot camp for anaesthesia for standardised training on how to use the electroencephalogram for perioperative care.BMC anesthesiology · 2025Article
- EEG features associated with Alzheimer's disease and Frontotemporal dementia are not reflected by processed indices used in anesthesia monitoring.Journal of clinical monitoring and computing · 2025Article
- Intraoperative electroencephalography predicts postoperative nausea and vomiting in laparoscopic sleeve gastrectomy.Journal of anesthesia and translational medicine · 2025Article
- Mechanism of cognitive impairment after laparoscopic surgery and nursing application progress based on EEG monitoring.Frontiers in neurology · 2025Review
- Research progress on the depth of anesthesia monitoring based on the electroencephalogram.Ibrain · 2025Review
- Brain health: A concern for anaesthesiologists and intensivists.European journal of anaesthesiology and intensive care · 2024Review
- A plea for enhanced monitoring of depth of sedation in patients who are intubated and ventilated.Critical care (London, England) · 2024Article
- Intraoperative pediatric electroencephalography monitoring: an updated review.Korean journal of anesthesiology · 2024Review
- Substance-dependent EEG during recovery from anesthesia and optimization of monitoring.Journal of clinical monitoring and computing · 2024Article
- Essential right heart physiology for the perioperative practitioner POQI IX: current perspectives on the right heart in the perioperative period.Perioperative medicine (London, England) · 2024Review
- Awake Craniotomy in Conscious Sedation: The Role of A2 Agonists.Brain sciences · 2024Article
Corrections and comments
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Authors and funding
11 authors at 9 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Electroencephalographic (EEG) monitoring to indicate brain state during anesthesia has become widely available. It remains unclear whether EEG-guided anesthesia influences perioperative outcomes. The sixth Perioperative Quality Initiative (POQI-6) brought together an international team of multidisciplinary experts from anesthesiology, biomedical engineering, neurology, and surgery to review the current literature and to develop consensus recommendations on the utility of EEG monitoring during anesthesia. We retrieved a total of 1023 articles addressing the use of EEG monitoring during anesthesia and conducted meta-analyses from 15 trials to determine the effect of EEG-guided anesthesia on the rate of unintentional awareness, postoperative delirium, neurocognitive disorder, and long-term mortality after surgery. After considering current evidence, the working group recommends that EEG monitoring should be considered as part of the vital organ monitors to guide anesthetic management. In addition, we encourage anesthesiologists to be knowledgeable in basic EEG interpretation, such as raw waveform, spectrogram, and processed indices, when using these devices. Current evidence suggests that EEG-guided anesthesia reduces the rate of awareness during total intravenous anesthesia and has similar efficacy in preventing awareness as compared with end-tidal anesthetic gas monitoring. There is, however, insufficient evidence to recommend the use of EEG monitoring for preventing postoperative delirium, neurocognitive disorder, or postoperative mortality.
Indexed as
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What OpenQuestion holds
Registered trials
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.