PROSPECTIVE OBSERVATIONAL STUDY OF INTRA OPERATIVE AWARENESS AND RECALL DURING GENERAL ANAESTHESIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 50
Abstract
BACKGROUND Awareness under anaesthesia is a rare but extremely unpleasant phenomenon. There are very few studies in the developing world and none from rural areas where incidence of intraoperative awareness may be higher due to increased patient load, limited patient knowledge and lack of trained hospital staff, reliance on older, cheaper but less effective drugs, and lack of proper equipment both for providing anaesthesia, as well as monitoring the patient. MATERIALS AND METHODS This hospital based cross sectional study was performed in M.G.M. Medical College and Hospital, Jamshedpur. Patients undergoing elective surgical procedures in various specialties (including general surgery, orthopedics, ear, nose and throat surgery, urosurgery, and plastic surgery) under general anaesthesia from October 1, 2016 to September 30, 2017, i.e., over a period of 1 year were considered for this study. RESULTS A total of 896 patients completed the questionnaire. Postoperatively, in response to the questionnaire, seven patients reported to have remembered something under anaesthesia. Out of these, three patients described events that were confirmed by operation theatre staff to have occurred whereas they were under anaesthesia. CONCLUSION The incidence of awareness with recall during general anaesthesia is low. The intraoperative monitoring including clinical analysis of anaesthetized patient as well as measurement of end-tidal concentration of volatile anaesthetic agent seems to be sufficient for prevention of episodes of awareness during general anaesthesia.
Authors and Affiliations
Sanjeev Kumar
Keywords
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- EP ID EP549286
- DOI 10.14260/jemds/2018/1184
- Views 89
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