Evidence map›Paper›PMID 36575378›Full record

ArticleBMC anesthesiology2022

Perception and practices of depth of anesthesia monitoring and intraoperative awareness event rate among Jordanian anesthesiologists: a cross-sectional study.

Sager Nawafleh, Ahmad Alrawashdeh, Omar Ababneh, Morad Bani-Hani, Zaid Al Modanat, Diab Bani Hani, Adel Bataineh, Faisal Al-Salameh, Sajeda Abuzaid, Omer Yasser and 1 more

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In one paragraph

Article in BMC anesthesiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Sager NawaflehDepartment of General Surgery, Urology and Anesthesia, Faculty of Medicine, The Hashemite University, Zarqa, 13115, Jordan.
Ahmad AlrawashdehDepartment of Allied Medical Science, Faculty of Applied Medical Science, Jordan University of Science and Technology, Irbid, 22110, Jordan. aaalrawashdeh@just.edu.jo.
Omar AbabnehDepartment of Anesthesia and Intensive Care, School of Medicine, The University of Jordan, Amman, 11942, Jordan.
Morad Bani-HaniDepartment of General Surgery, Urology and Anesthesia, Faculty of Medicine, The Hashemite University, Zarqa, 13115, Jordan.
Zaid Al ModanatFaculty of Medicine, Yarmouk University, Irbid, 21110, Jordan.
Diab Bani HaniDepartment of Anesthesia and Recovery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, 21110, Jordan.
Adel BatainehDepartment of Anesthesia and Recovery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, 21110, Jordan.
Faisal Al-SalamehAnesthesia Department, Istiklal Hospital, Amman, Jordan.
Sajeda AbuzaidDepartment of Research and Data Analytics, Kernel Center, Irbid, 21110, Jordan.
Omer YasserDepartment of Anesthesia and Recovery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, 21110, Jordan.
Khaled KhairallahDepartment of Public Health and Community Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, 22110, Jordan.
Jordan University of Science and Technology · JOHashemite University · JOJordan Hospital · JOMédecins Sans Frontières · JOUniversity of Jordan · JOYarmouk University · JO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntraoperative awareness is the second most common complication of surgeries, and it negatively affects patients and healthcare professionals. Based on the limited previous studies, there is a wide variation in the incidence of intraoperative awareness and in the practices and attitudes toward depth of anesthesia (DoA) monitoring among healthcare systems and anesthesiologists. This study aimed to evaluate the Jordanian anesthesiologists' practice and attitudes toward DoA monitoring and estimate the event rate of intraoperative awareness among the participating anesthesiologists.

methodsA descriptive cross-sectional survey of Jordanian anesthesiologists working in public, private, and university hospitals was utilized using a questionnaire developed based on previous studies. Practice and attitude in using DoA monitors were evaluated. Anesthesiologists were asked to best estimate the number of anesthesia procedures and frequency of intraoperative awareness events in the year before. Percentages and 95% Confidence Intervals (95%CI) were reported and compared between groups using chi-square tests.

resultsA total of 107 anesthesiologists responded and completed the survey. About one-third of the respondents (34.6%; 95% CI 26.1-44.2) had never used a DoA monitor and only 6.5% (95% CI 3.1-13.2) reported using it as a "daily practice". The use of a DoA monitor was associated with experience and type of health sector. However, 81.3% (95% CI 66.5-83.5) believed that currently available DoA monitors are effective for DoA monitoring and only 4.7% (95%CI 1.9-10.8) reported it as being "invalid". Most respondents reported that the main purpose of using a DoA monitor was to prevent awareness (86.0%; 95%CI 77.9-91.4), guide the delivery of anesthetics (63.6%; 95%CI 53.9-72.2), and reduce recovery time (57%; 95%CI 47.4-66.1). The event rate of intraoperative awareness was estimated at 0.4% among participating anesthesiologists. Most Jordanian hospitals lacked policy intending to prevent intraoperative awareness.

conclusionsMost anesthesiologists believed in the role of DoA monitors in preventing intraoperative awareness, however, their attitudes and knowledge are inadequate, and few use DoA monitors in routine practices. In Jordan, large efforts are needed to regulate the use of DoA monitoring and reduce the incidence of intraoperative awareness.

Indexed as

AnesthesiaIntraoperative AwarenessAnesthesiologistsCross-Sectional StudiesHumansJordanPerceptionDepth of anesthesia monitorsIntraoperative awarenessJordanPerceptionPractice

Identifiers

PMID36575378
PMCPMC9793501
OpenAlexW4313250596

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.