A single-center, historical cohort study at Massachusetts General Hospital sought to calculate the incidence of prolonged emergence (i.e., >15 min) for patients under the care of clinical anaesthesia (CA) residents and to identify factors from resident training, medical history, anaesthetic use, and anaesthesia staffing, which affect emergence. Data extracted from MetaVision was analysed in order to understand the effect of anaesthesia resident training duration on patient emergence time. The authors conclude that, “…the incidence of prolonged emergence from general anesthesia decreased linearly over time during the CA-1 residency year residency. Furthermore, the frequency of prolonged emergence differed among individual residents. Finally, in addition to operative time and anesthetic choice, non-obvious patient factors such as ASA PS III or greater and male gender are associated with prolonged emergence time. Thus, this frequency may be a useful index of 1st-year anesthesia resident progress pending further validity-type evidence.”
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