[Accidental Awareness during General Anaesthesia]. / Akzidentelle Wachheit während Allgemeinanästhesie.
Anasthesiol Intensivmed Notfallmed Schmerzther
; 58(6): 380-390, 2023 Jun.
Article
em De
| MEDLINE
| ID: mdl-37385244
ABSTRACT
Accidental awareness during general anaesthesia (AAGA) is a rare but severe complication. The reported incidence of AAGA may depend on the assessment of intraoperative awareness with explicit recall and there are substantial variations between subspecialties and groups of patients. The majority of prospective studies using structured interviews reported an incidence of AAGA at 0.1-0.2% during general anaesthesia, however, higher values were observed in paediatric (0.2-1.2%) and obstetric patients (0.47%). Risk factors that predispose to AAGA are patient conditions, ASA status, female gender, patient age, history of AAGA, surgical procedure, anaesthetic drug type, muscle relaxation, dosages of hypnotic or analgesic drugs, monitoring and malfunction of anaesthesia systems. Preventive strategies include careful assessment of risk factors, avoidance of underdosages of hypnotics and analgetics during general anaesthesia and monitoring of depth of anaesthesia in risk patients. The health-related consequences can be serious and psychopharmacological and psychotherapeutic interventions are indicated in patients who have experienced AAGA.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Anestesia Geral
/
Anestesiologia
Tipo de estudo:
Etiology_studies
/
Observational_studies
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Qualitative_research
/
Risk_factors_studies
Limite:
Child
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Female
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Humans
/
Pregnancy
Idioma:
De
Revista:
Anasthesiol Intensivmed Notfallmed Schmerzther
Assunto da revista:
ANESTESIOLOGIA
/
MEDICINA DE EMERGENCIA
/
TERAPIA INTENSIVA
Ano de publicação:
2023
Tipo de documento:
Article