Abstract
Accidental awareness with recall is one of the most feared complications for patients undergoing general anaesthesia and can lead to post-traumatic stress disorder in up to 70% of patients experiencing it. To reduce the incidence of awareness with recall, the bispectral index monitor is recommended for patients receiving total intravenous anaesthetics, especially those receiving neuromuscular blockers. While extensive investigation into awareness and bispectral index monitoring has occurred for operating room patients, this has not extended to other clinical arenas where sedated and mechanically ventilated patients are cared for, namely the intensive care unit and emergency department. The purpose of this systematic review is to assess the world's literature to determine the incidence of awareness with paralysis in mechanically ventilated patients and the impact of bispectral index monitoring for reducing this complication. Randomised trials and non-randomised studies are eligible for inclusion. With aid from a medical librarian, an electronic search will include Ovid Medline, Embase.com, Scopus, Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials. To find data published in abstract form, ...Continue Reading
References
Oct 31, 1998·Annals of Emergency Medicine·A Vosk
Mar 7, 2000·Lancet·R H SandinC Lennmarken
Apr 10, 2002·Acta Anaesthesiologica Scandinavica·C LennmarkenR Sandin
Jun 3, 2004·Lancet·P S MylesM T V Chan
Aug 31, 2004·Anesthesia and Analgesia·Peter S SebelKaren B Domino
May 19, 2005·Pharmacotherapy·Gilles L Fraser, Richard R Riker
Mar 14, 2008·The New England Journal of Medicine·Michael S AvidanAlex S Evers
Oct 29, 2009·Anesthesia and Analgesia·Kate LeslieTimothy J McCulloch
Jul 20, 2010·Critical Care Medicine·Hannah WunschJeremy M Kahn
Aug 19, 2011·The New England Journal of Medicine·Michael S AvidanUNKNOWN BAG-RECALL Research Group
Nov 22, 2011·The American Journal of Emergency Medicine·Benjamin D EasterJonathan Fisher
Jan 10, 2012·The Western Journal of Emergency Medicine·Deborah KimballSean Henderson
Sep 20, 2012·Anesthesiology·George A MashourMichael S Avidan
Dec 25, 2012·Anesthesiology·Michael S Avidan, George A Mashour
Sep 11, 2014·British Journal of Anaesthesia·J J PanditUNKNOWN Association of Anaesthetists of Great Britain and Ireland
Nov 11, 2014·Anesthesia and Analgesia·Elizabeth L WhitlockMichael S Avidan
Mar 5, 2015·British Journal of Anaesthesia·G A Mashour, M S Avidan
May 1, 2016·Journal of the Intensive Care Society·Theresa Finlay, Tim Parke
Citations
Nov 8, 2020·Intensive Care Medicine·Sami HraiechLaurent Papazian
Nov 27, 2020·Clinical EEG and Neuroscience·Michał J StasiowskiPrzemysław Jałowiecki
Feb 11, 2021·Critical Care Medicine·Ryan D PappalBrian M Fuller