PMID: 16634426Apr 26, 2006Paper

Monitoring consciousness in the pediatric patient: not just a small adult

Best Practice & Research. Clinical Anaesthesiology
Shoichi Uezono, Yasushi Mio

Abstract

Intraoperative awareness, defined as postoperative memory for intraoperative events, is believed to occur about 0.2% of the time in a general adult surgical population. A recent large-scale prospective study from a single institution revealed a strikingly high incidence (0.8%) of intraoperative awareness in children aged 5-12 years although the sequelae of awareness during surgery in children were reported to be relatively minor. This contrasts with awareness in adult patients, for whom this complication often causes psychological trauma, thus having medico-legal implications. Various monitors to detect intraoperative awareness have been used with varying success in adults. To date, however, no monitor has been shown to be effective in detecting intraoperative awareness during surgery in pediatric patients. Further research is required to clarify the rates of intraoperative awareness in the pediatric population as well as the need for monitoring this event during the clinical practice of pediatric anesthesiology.

References

Feb 1, 1990·Anesthesia and Analgesia·M M CohenP G Duncan
Mar 1, 1993·Anesthesiology·J P MorrayF W Cheney
Oct 20, 1998·Anesthesiology·I J Rampil
May 26, 2001·Anesthesiology·M F O'ConnorJ Apfelbaum
Jun 24, 2003·Anesthesia and Analgesia·Nicole Brown McDermottRobert H Friesen
Feb 25, 2005·Anesthesia and Analgesia·Andrew J DavidsonRobyn Stargatt

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Citations

Jun 30, 2009·The Annals of Thoracic Surgery·Adelaida LamasVicente Martínez
Feb 24, 2010·Anaesthesia·A Lamas, Jesús López-Herce
Apr 16, 2021·Minerva anestesiologica·Angela PittalisRaffaella Sagredini

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