Anesthetic drugs & techniques

End-Tidal Control Versus Manual Control of Inhalational Anesthesia Delivery: A Randomized Controlled Noninferiority Trial

Anesth AnalgPublished Randomised controlled trial

An erratum to this article was published (Anesth Analg, 1 Apr 2025 ↗)

Authors' conclusion

EtC achieves and maintains the EtAA and Et o2 concentration in a manner that is noninferior to manually controlled anesthesia delivery.

Study context

Population
Adults receiving inhaled anesthesia
Participants
210 adults
Comparison
End-tidal Control vs manual control of inhalational anesthetic delivery
Primary endpoint
EtC achieves and maintains clinician-specified EtAA and EtO2 concentrations within defined noninferiority limits vs conventional practice (percent duration within acceptable range; noninferiority if lower 95% CI limit of difference ≥ −5% for both)
Methodological detailsnoninferiority, multi-site
  • Noninferiority
  • Multi-site

Primary result

As reported in the abstract

EtC vs MCDifference, % (95% CI)P value
EtAA
52.3(45.9%–58.6%)
P < 0.0001
EtO2
45.3(36.1%–54.5%)
P < 0.0001

Dotted line: non-inferiority margin −5

Secondary outcomes

Response time to 90% of initial desired EtAA

P = 0.0013

OutcomeDifference (%) (95% CI)P value
Accuracy (median percent deviation from desired EtAA)15.7 (13.5%–19.0%)P < 0001
OutcomeEtCMC
Overshoot of selected EtAAmedian 6.64% of selected EtAA concentration— not stated in the abstract

— not stated in the abstract

Overshoot of selected end-tidal anesthetic agent (EtAA)

Manual control (MC) often failed to reach the clinician's desired value

Original publication

End-Tidal Control Versus Manual Control of Inhalational Anesthesia Delivery: A Randomized Controlled Noninferiority Trial. Anesth Analg. Published 19 July 2024. doi:10.1213/ane.0000000000007132

Composed by AI from the published abstract and checked against it. How Briefs are made →

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