2018, Number 3-4
<< Back Next >>
Rev Sanid Milit Mex 2018; 72 (3-4)
Relative frequency of occurrence of probable cases of intraoperative awareness (IA) in patients undergoing general balanced anaesthesia in the Central Military Hospital
Portillo-Hernández MC, García-Núñez LM, Hernández-García EF
Language: Spanish
References: 27
Page: 213-222
PDF size: 276.29 Kb.
ABSTRACT
Introduction: Intraoperative awareness (IA) is a rare phenomenon that affects approximately 0.1-0.2% of patients undergoing general anesthesia balanced (GBA).
Material and methods: Observational, descriptive and transversal study to detect probable cases of IA in subjects who were undergoing GBA in the Central Military Hospital. The statistical method used was the relative frequency of occurrence.
Results: We included a sample of 105 patients to whom we applied the questionnaire of Brice in the immediate postoperative period and 24 hours after their surgical procedure. In a six-month study period, were studied 105 individuals who met the inclusion criteria for the study, 51% (54/105) were female and 49% (51/105) men. Laparoscopic cholecystectomy (29%) was the most common intervention. We applied the questionnaire of Brice in the immediate postoperative period to all individuals included in the study (100%; 105/105). Three probable cases of IA were detected, representing 2.8% of the universe of study.
Conclusions: The questionnaire of Brice was a tool that was easy to use, inexpensive, viable, and free of negative clinical organizational impact to detect probable cases of IA in the institution.
REFERENCES
Orser BA, Mazer DC, Baker AJ. Awareness during anaesthesia. CMAJ. 2008; 178 (2): 185-188.
Niño de Mejía MC, Hennig JC, Coen DM. El despertar intraoperatorio en anestesia, una revisión. Rev Mex de Anest. 2011; 34 (4): 274-285.
Jones JC. Perception and memory during general anesthesia. Br J Anaesth. 1994; 73: 31-37.
Grunshaw N. Anaesthesic awareness. Br Med J. 1990; 300 (24): 821.
Hardman JG, Aitkenhead AR. Awareness during anaesthesia. Continuing Education in Anaesthesia Critical Care & Pain. 2005; 5 (6): 183-186.
Ghoneim MM, Block RI, Haffarnan M, Mathews MJ. Awareness during anaesthesia: risk factors, causes and sequelae: a review of reported cases in the literature. Anesth Analg. 2009; 108 (2): 527-135.
Errando CL, Sigl JC, Robles M, Calabuig E, García J, Arocas F et al. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Br J Anaesth. 2008; 101 (2): 178-185.
American Society of Anesthesiologists Task Force on Intraoperative Awareness. Practice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative awareness. Anesthesiology. 2006; 104 (4): 847-864.
Rodrigues NR, Camarão PV, Trevía MV, Quezado AN, Moreira ML. Factores de riesgo para el despertar intraoperatorio. Rev Bras Anestesiol. 2012; 62 (3): 365-374.
Radovanovic D, Radovanovic Z. Awareness during general anaesthesia-implications of explicit intraoperative recall. Eur Rev Med Pharmacol Sci. 2011; 15 (9): 1085-1089.
Breckenridge JL, Aitkenhead AR. Awareness during anesthesia: A review. Ann R Coll Surg Engl. 1983; 65 (2): 93-96.
Brice DD, Hetherington R, Utting JE. A simple study of awareness and dreaming during anaesthesia. Br J Anaesth. 1970; 42 (6): 535-542.
Osterman JE, Hopper J, Heran WJ, Keane TM, van der Kolk BA. Awareness under anesthesia and the development of posttraumatic stress disorder. Gen Hosp Psychiatry. 2001; 23 (4): 198-204.
Szostakiewicz KM, Tomaszewski D, Rybicki Z, , Rychlik A. Intraoperative awareness during general anaesthesia: results of an observational study. Anesthesiol Intensive Ther. 2014; 46 (1): 23-28.
Ghoneim M. The trauma of awareness: history, clinical features, risk factors, and cost. Anesth Analg. 2010; 110 (3): 666-667.
Lora QC, Navarro VJ. Despertar y recordación de eventos en pacientes bajo anestesia general. Rev Colomb Anestesiol. 2000; 28 (3).
Mashour GA, Wang LY, Turner CR, Vandervest JC, Shanks A, Tremper KK. A retrospective study of intraoperative awareness with methodological implications. Anaesth Analg. 2009; 108 (2): 521-526.
Chung HS. Awareness and recall during general anesthesia. Korean J Anesthesiol. 2014; 66 (5): 339-345.
Phillips A, Malean R, Devitt J, Harrington EM. Recall of intraoperative events after general anaesthesia and cardiopulmonary bypass. Can J Anaesth. 1993; 40 8(10): 922-926.
Moerman N, Bonke B, Oosting J. Awareness and recall during general anesthesia. Facts and feelings. Anesthesiology. 1993; 79 (3): 454-464.
Deeprose C, Andrade J, Varma S, Edwards N. Unconscious learning during surgery with propofol anesthesia. Br J Anaesth. 2004; 92 (2): 171-177.
Pandit JJ, Andrade J, Bogod DG, Hitchman JM, Jonker WR, Lucas N et al. 5th National audit project (NAP5) on accidental awareness during general anesthesia: summary of main findings and risk factors. Br J Anaesth. 2014; 113 (4): 549-559.
Wang Y, Yue Y, Sun YH, Wu AS, Wu QW, Zhang YQ et al. Investigation and analysis of incidence of awareness in patients undergoing cardiac surgery in Beijing, China. Chin Med J. 2005; 118 (14): 1190-1194.
Domino KB, Posner KL, Caplan RA, Cheney FW. Awareness during anesthesia: a closed claim analysis. Anesthesiology. 1999; 90 (4): 1053-1061.
Ranta S, Jussila J, Hynynen M. Recall of awareness during cardiac anesthesia: influence of feedback information to the anaesthesiologist. Acta Anaesthesiol Scand. 1996; 40 (5): 554-560.
Dowd NP, Cheng DC, Karski JM, Wong DT, Munro JA, Sandler AN. Intraoperative awareness in fast-track cardiac anesthesia. Anesthesiology. 1998; 89 (5): 1068-1073.
Castellón LK, Rosero BR, Niño de Mejía MC, Bergese SD. Uso de monitorización cerebral para el despertar intraoperatorio. Rev Colomb Anestesiol. 2016; 44 (1): 23-29.