Implementation of an electroencephalogram‐guided propofol anesthesia practice in a large academic pediatric hospital: A quality improvement project
Authors' conclusion
Quality improvement methods may be deployed to adopt electroencephalogram-guided total intravenous anesthesia in a large academic pediatric anesthesia practice.
Study context
- Population
- Pediatric anesthesia cases in the main operating room of a large academic pediatric hospital
- Comparison
- Before vs after QI implementation of EEG-guided TIVA
- Outcome
- Percentage of EEG-guided TIVA cases (smart aim: from 0% to 80%)
- Follow-up
- 18 months
Methodological detailsPlan-Do-Study-Act cycles, statistical process control chart, single-centre, Key drivers: education, equipment, EHR modifications; EEG monitors (Sedline, Masimo Inc)
- Plan-Do-Study-Act cycles
- Statistical process control chart
- Single-centre
- Key drivers: education, equipment, EHR modifications; EEG monitors (Sedline, Masimo Inc)
Main finding
As reported in the abstract
EEG-guided TIVA cases
EEG-guided TIVA after the four PDSA cycles: increased from 5% to
75%
EEG-guided TIVA sustained 9 months after project completion
72%
Further findings
Emergence time (balancing measure) · greater statistically but not clinically
P < 0.001
TIVA cases/mo and perioperative emergency activations (balancing measures)
- Did not change significantly from start to end of the project
Original publication
Implementation of an electroencephalogram‐guided propofol anesthesia practice in a large academic pediatric hospital: A quality improvement project. Paediatr Anaesth. Published 14 November 2023. doi:10.
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