Awareness Trials

 

B-AWARE 2004

Question

BIS vs routine

Type

·      Multi-centre, double blinded RCT

Subjects

·      High risk of awareness (e.g. cardiac, trauma, GA LUSCS)

Upshot

·      ↓Awareness by 82%, NNT 138

Comments

·      >40% TIVA, stricter criteria

 

B UN-AWARE 2008

Question

BIS vs end-tidal

Type

·      Single-centre, assessor-blinded RCT

Subjects

·      High risk for awareness

Groups

·      BIS 40-60 vs ETAC 0.7-1.3MAC

Upshot

·      No difference (2 vs 2)

Problems

·      Liberal inclusion criteria

·      Underpowered

·      Poor adherence

·      Single hospital

·      No TIVA by definition

 

BAG-RECALL 2011

Question

BIS vs end-tidal

Type

·      Multi-centre, assessor-blinded RCT

Subjects

·      High risk for awareness

Groups

·      BIS 40-60 vs ETAC 0.7-1.3MAC

Upshot

·      ↑Awareness in BIS group (7 vs 2)

Comments

·      No TIVA by definition

 

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