Priority 12 from the Anaesthesia (Canada) PSP

UNCERTAINTY: How can anesthesiologists better use current (or create new) monitoring tools during and after surgery to improve patient care and outcomes? (JLA PSP Priority 12)
Overall ranking 12
JLA question ID 0084/12
Explanatory note

This question asks about what monitoring tools could help improve outcomes. Respondents wanted to know about monitoring factors like fluids, depth of anesthesia, and monitoring after surgery.
Evidence

Punjasawadwong Y, Chau-In W, Laopaiboon M, Punjasawadwong S, Pin-On P. Processed electroencephalogram and evoked potential techniques for amelioration of postoperative delirium and cognitive dysfunction following non-cardiac and non-neurosurgical procedures in adults. Cochrane Database Syst Rev. 2018 May 15;5. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011283.pub2/full

Messina AG, Wang M, Ward MJ, Wilker CC, Smith BB, Vezina DP, Pace NL. Anaesthetic interventions for prevention of awareness during surgery. Cochrane Database Syst Rev. 2016 Oct 18;10. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007272.pub2/full
Health Research Classification System category  Generic health relevance
Extra information provided by this PSP
Original uncertainty examples Can advanced neuromonitoring improve neurocognitive outcome in major surgery? ~ Does the use of intraoperative monitoring to better administer opioids, hypnotics, curare and fluids for titrated anesthesia to patient needs improve postoperative rehabilitation and recovery and reduce postoperative morbidity and mortality, particularly in most fragile populations?
Submitted by Healthcare providers, caregivers, patients
PSP information
PSP unique ID 0084
PSP name Anesthesia (Canada)
Total number of uncertainties identified by this PSP. 49  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 15 May 2019