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Canadian Journal of Anesthesia/Journal canadien d'anesthésie
Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 8/2021

01-08-2021 | Care | Review Article/Brief Review

Educational initiatives for electroencephalography in the critical care setting: a systematic review and meta-analysis

Authors: Shaurya Taran, MD, Wael Ahmed, MD, Ruxandra Pinto, PhD, Esther Bui, MD, Lara Prisco, MD, MSc, AFRCA, AFFICM, Cecil D. Hahn, MD, MPH, Marina Englesakis, HBA, MLIS, Victoria A. McCredie, MBChB, PhD

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 8/2021

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Abstract

Purpose

We systematically reviewed existing critical care electroencephalography (EEG) educational programs for non-neurologists, with the primary goal of reporting the content covered, methods of instruction, overall duration, and participant experience. Our secondary goals were to assess the impact of EEG programs on participants’ core knowledge, and the agreement between non-experts and experts for seizure identification.

Source

Major databases were searched from inception to 30 August 2020. Randomized controlled trials, cohort studies, and descriptive studies were all considered if they reported an EEG curriculum for non-neurologists in a critical care setting. Data were presented thematically for the qualitative primary outcome and a meta-analysis using a random effects model was performed for the quantitative secondary outcomes.

Principal findings

Twenty-nine studies were included after reviewing 7,486 citations. Twenty-two studies were single centre, 17 were from North America, and 16 were published after 2016. Most EEG studies were targeted to critical care nurses (17 studies), focused on processed forms of EEG with amplitude-integrated EEG being the most common (15 studies), and were shorter than one day in duration (24 studies). In pre-post studies, EEG programs significantly improved participants’ knowledge of tested material (standardized mean change, 1.79; 95% confidence interval [CI], 0.86 to 2.73). Agreement for seizure identification between non-experts and experts was moderate (Cohen’s kappa = 0.44; 95% CI, 0.27 to 0.60).

Conclusions

It is feasible to teach basic EEG to participants in critical care settings from different clinical backgrounds, including physicians and nurses. Brief training programs can enable bedside providers to recognize high-yield abnormalities such as non-convulsive seizures.
Appendix
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Metadata
Title
Educational initiatives for electroencephalography in the critical care setting: a systematic review and meta-analysis
Authors
Shaurya Taran, MD
Wael Ahmed, MD
Ruxandra Pinto, PhD
Esther Bui, MD
Lara Prisco, MD, MSc, AFRCA, AFFICM
Cecil D. Hahn, MD, MPH
Marina Englesakis, HBA, MLIS
Victoria A. McCredie, MBChB, PhD
Publication date
01-08-2021
Publisher
Springer International Publishing
Published in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 8/2021
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-021-01962-y

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