Current application status and attitude of depth of anesthesia monitoring devices in Chinese anesthesiologists

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Current application status and attitude of depth of anesthesia monitoring devices in Chinese anesthesiologists

Clinical Medicine | 更新时间：2026-01-09

- Current application status and attitude of depth of anesthesia monitoring devices in Chinese anesthesiologists
- Journal of Army Medical University Vol. 45, Issue 1, Pages: 67-72(2023)
- 作者机构：
  
  1.646000 四川泸州，西南医科大学附属医院麻醉科，麻醉与重症医学泸州市重点实验室
  2.400037 重庆，陆军军医大学(第三军医大学)第二附属医院麻醉科
- 作者简介：
- 基金信息：
  
  the National Key Research and Development Program(2018YFC0117200)
- DOI：10.16016/j.2097-0927.202204129
  CLC： R195;R197.39;R614
- Received：17 April 2022，
  
  Revised：2022-10-31，
  
  Published：15 January 2023
- 稿件说明：
移动端阅览
Lu WANG, Yang GUO, Hong LI, et al. Current application status and attitude of depth of anesthesia monitoring devices in Chinese anesthesiologists[J]. Journal of Army Medical University, 2023, 45(1): 67-72.
DOI：

Lu WANG, Yang GUO, Hong LI, et al. Current application status and attitude of depth of anesthesia monitoring devices in Chinese anesthesiologists[J]. Journal of Army Medical University, 2023, 45(1): 67-72. DOI： 10.16016/j.2097-0927.202204129.

摘要

目的

2

对我国麻醉医师进行问卷调查，分析麻醉医师对麻醉深度(depth of anesthesia

DoA)监测仪的使用现状及其对DoA监测仪有效性的评价。

方法

2

选择已获得执业医师资格证的中国麻醉医师为调研对象。2020年7-9月在全国范围内通过发送微信调研表对12 750名麻醉医师进行调研，完成被调研者对DoA监测仪使用情况及有效性等数据的收集，最终获得有效问卷4 037份。采用SPSS 26.0软件，数据以百分比和95%置信区间(

CI

)的形式表示，进行卡方检验对获得的调研数据进行统计分析。

结果

2

① 在临床麻醉中常规使用DoA监测仪者仅占9.1%。教学医院[非常熟悉的比例30.3%(28.3%~32.3%)

]

和三甲医院[非常熟悉的比例28.8%(27.1%~30.6%)

]

的麻醉医师对DoA监测仪的熟悉程度分别高于非教学医院[非常熟悉的比例14.8%(13.2%~16.4%)

]

和非三甲医院[非常熟悉的比例11.8%(10.1%~13.5%)

]

。65.4%的麻醉医师认为DoA监测仪的3个脑电参数同等重要，其中教学医院医师比例[66.7%(64.7%~68.7%)

]

高于非教学医院[64.1%(62.0%~66.2%)

]

，但95%

CI

有重叠，差异无统计学意义。②96.5%的麻醉医师认为DoA监测仪能有效监测麻醉深度。而麻醉医师对不同类型DoA监测仪的有效性评价无明显差异。③不同职称的麻醉医师认为不同的全身麻醉方法均需使用DoA监测仪，仅对保留自主呼吸的麻醉方式是否需要DoA监测仪的看法有统计学差异(

P

<

0.05)。

结论

2

我国DoA监测仪使用率较低，不同类型DoA监测仪均能有效监测DoA并适用于不同的全身麻醉方法，值得临床推广使用。

Abstract

Objective

2

To understand the current status of application of depth of anesthesia (DoA) monitors used by anesthesiologists in China and evaluated its validity.

Methods

2

Chinese anesthesiologists who have been licensed as medical practitioners were selected as the research objects. A nationwide online survey was carried out by sending a WeChat survey form to 12 750 anesthesiologists during July and September 2020

and the data of DoA monitor usage and effectiveness were collected. Finally

4 037 valid questionnaires were obtained. The survey data were analyzed using SPSS 26.0 software. The data were expressed as proportions with 95% confidence interval (

CI

)

and

Chi

-square test was conducted for statistical analysis.

Results

2

① Only 9.1% of anesthesiologists routinely used DoA monitors in clinical anesthesia. Anesthesiologists in teaching hospitals [proportion of very familiar: 30.3% (28.3%~32.3%)

]

and grade-A tertiary hospitals [proportion of very familiar: 28.8% (27.1%~30.6%)

]

were more familiar with DoA monitors than those in non-teaching hospitals [proportion of very familiar: 14.8% (13.2%~16.4%)

]

and non-grade-A tertiary hospitals [proportion of very familiar: 11.8% (10.1%~13.5%)

]

respectively. Among the participants

65.4% of them considered that the 3 electroencephalogram parameters of DoA monitors were equally important

with the proportion of anesthesiologists in teaching hospitals [66.7%(64.7%~68.7%)

]

higher than that in non-teaching hospitals [64.1%(62.0%~66.2%)

]

though no statistical difference due to 95%

CI

overlapping. ② 96.5% of anesthesiologists believed that the DoA monitors could effectively monitor DoA. However

there was no significant difference in anesthesiologists' evaluation of the effectiveness of different DoA monitors. ③ Anesthesiologists with different titles believed that DoA monitors were indispensable for different general anesthesia methods

but statistical difference was seen in whether DoA monitors were required for general anesthesia preserving spontaneous resp

iration (

P

<

0.05).

Conclusion

2

The usage of DoA monitors in China is quite low. Different types of DoA monitors are effective for DoA monitoring and suitable for different general anesthesia methods

which are worthy of clinical application.

关键词

Keywords

references

AVIDAN M S, JACOBSOHN E, GLICK D, et al . Prevention of intraoperative awareness in a high-risk surgical population[J ] . N Engl J Med, 2011, 365(7): 591-600. DOI: 10.1056/NEJMoa1100403.

SINCLAIR R C F, FALEIRO R J. Delayed recovery of consciousness after anaesthesia[J]. Contin Educ Anaesth Crit Care Pain, 2006, 6(3): 114-118. DOI: 10.1093/bjaceaccp/mkl020.

BEN-MENACHEM E, ZALCBERG D. Depth of anesthesia monitoring: a survey of attitudes and usage patterns among Australian anesthesiologists[J]. Anesth Analg, 2014, 119(5): 1180-1185. DOI: 10.1213/ANE.0000000000000344.

BURMEISTER L F. Principles of successful sample surveys[J]. Anesthesiology, 2003, 99(6): 1251-1252. DOI: 10.1097/00000542-200312000-00003.

JONES D, STORY D, CLAVISI O, et al . An introductory guide to survey research in anaesthesia[J ] . Anaesth Intensive Care, 2006, 34(2): 245-253. DOI: 10.1177/0310057X0603400219.

LIU Q, MA L, CHIU R C, et al . HRV-derived data similarity and distribution index based on ensemble neural network for measuring depth of anaesthesia[J ] . Peer J, 2017, 5: e4067. DOI: 10.7717/peerj.4067.

LIU Q, CHEN Y F, FAN S Z, et al . EEG signals analysis using multiscale entropy for depth of anesthesia monitoring during surgery through artificial neural networks[J ] . Comput Math Methods Med, 2015, 2015: 232381. DOI: 10.1155/2015/232381.

MASON S E, NOEL-STORR A, RITCHIE C W. The impact of general and regional anesthesia on the incidence of post-operative cognitive dysfunction and post-operative delirium: a systematic review with meta-analysis[J]. J Alzheimers Dis, 2010, 22(Suppl 3): 67-79. DOI: 10.3233/JAD-2010-101086.

LOBATO E B, GRAVENSTEIN N, KIRBY R R. Complications in anesthesiology[M]. 3th ed. Philadelphia: Lippincott Williams&Wilkins, 2008.

LAU K, MATTA B, MENON D K, et al . Attitudesof anaesthetists to awareness and depth of anaesthesia monitoring in the UK[J ] . Eur J Anaesthesiol, 2006, 23(11): 921-930. DOI: 10.1017/S0265021506000743.

MYLES P S, SYMONS J A, LESLIE K. Anaesthetists' attitudes towards awareness and depth-of-anaesthesia monitoring[J]. Anaesthesia, 2003, 58(1): 11-16. DOI: 10.1046/j.1365-2044.2003.02955.x.

黄宇光, 邓小明, 中华医学会. 麻醉学进展-2018[M]. 北京: 中华医学电子音像出版社, 2019: 37-42.

HUANG Y G, DENG X M, Chinese Medical Association. Chinese medical development series research report—advances in anesthesiology[M]. Beijing: Chinese Medical Multimedia Press, 2019: 37-42.

CHEUNG Y M, SCOONES G P, STOLKER R J, et al . Monitoring depth of hypnosis: mid-latency auditory evoked potentials de rived aepEX in children receiving desflurane-remifentanil anesthesia[J ] . Anesth Analg, 2020, 130(1): 194-200. DOI: 10.1213/ane.0000000000003546.

KI S, KIM K M, LEE Y H, et al . Phase lag entropy as a hypnotic depth indicator during propofol sedation[J ] . Anaesthesia, 2019, 74(8): 1033-1040. DOI: 10.1111/anae.14704.

陶守君, 雷卫平, 黄娅琴, 等. 国产麻醉深度监测仪和脑电双频指数监测仪在腹腔镜手术中的一致性分析[J]. 临床麻醉学杂志, 2018, 34(9): 878-881. DOI: 10.12089/jca.2018.09.011.

TAO S J, LEI W P, HUANG Y Q, et al . Consistency analysis of domestic anesthesia depth monitor Ai index and bispectral index monitoring in the laparoscopic surgery[J ] . J Clin Anesthesiol, 2018, 34(9): 878-881. DOI: 10.12089/jca.2018.09.011.

SHANDER A, LOBEL G P, MATHEWS D M. Brain monitoring and the depth of anesthesia: another goldilocks dilemma[J]. Anesth Analg, 2018, 126(2): 705-709. DOI: 10.1213/ANE.0000000000002383.

PILGE S, SCHNEIDER G. BIS and state entropy of the EEG - comparing apples and oranges[J]. Br J Anaesth, 2015, 115(2): 164-166. DOI: 10.1093/bja/aev145.

FAHY B G, CHAU D F. The technology of processed electroencephalogram monitoring devices for assessment of depth of anesthesia[J]. Anesth Analg, 2018, 126(1): 111-117. DOI: 10.1213/ANE.0000000000002331.

GUO C Y, YU J S, WU L, et al . Analysis and feature extraction of EEG signals induced by anesthesia monitoring based on wavelet transform[J ] . IEEE Access, 7: 41565-41575. DOI: 10.1109/ACCESS.2019.2907794.

BROWN E N, LYDIC R, SCHIFF N D. General anesthesia, sleep, and Coma[J]. N Engl J Med, 2010, 363(27): 2638-2650. DOI: 10.1056/nejmra0808281.

CHEUNG Y M, SCOONES G, STOLKER R J, et al . Use, applicability and reliability of depth of hypnosis monitors in children—a survey among members of the European Society for Paediatric Anaesthesiology[J ] . BMC Anesthesiol, 2018, 18(1): 40. DOI:10.1186/s12871-018-0503-y.

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