Berger-Estilita J, Saxena S, Gisselbaek M, et al.
Current Opinion in Anesthesiology. Published May 26, 2025
https://doi.org/10.1097/ACO.0000000000001521
Summary:
This review highlights the underutilization of electroencephalography (EEG) in anesthesiology and examines the growing movement toward formal EEG education. Although EEG is a valuable tool for monitoring anesthetic depth and protecting against perioperative neurocognitive disorders, adoption remains limited due to a lack of structured training, overreliance on processed EEG indices, and cultural resistance within the specialty.
Key findings:
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EEG remains underused in anesthesia due to limited clinician training and perceived complexity
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Processed EEG indices can mislead clinicians if not cross-referenced with raw waveforms
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Structured education—including flipped classrooms, simulation, e-learning modules, and deliberate practice—has shown promise in improving interpretation skills
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Short, focused sessions and self-directed learning can significantly enhance proficiency
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Simulation-based education provides real-time pattern recognition and safe repetition
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A tiered, spiral curriculum model with competency-based milestones is recommended for integration into residency training
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Faculty development and institutional support are essential for long-term implementation
Conclusion:
EEG training should become a standard component of anesthesiology education. By using a modern, flexible, and competency-driven curriculum supported by interactive teaching and ongoing professional development, EEG interpretation can be demystified and better integrated into routine perioperative care.
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