The incidence of awareness during anesthesia: a multicenter United States study.

Anesthesia and Analgesia
Peter S SebelKaren B Domino

Abstract

Awareness with recall after general anesthesia is an infrequent, but well described, phenomenon that may result in posttraumatic stress disorder. There are no recent data on the incidence of this complication in the United States. We, therefore, undertook a prospective study to determine the incidence of awareness with recall during general anesthesia in the United States. This is a prospective, nonrandomized descriptive cohort study that was conducted at seven academic medical centers in the United States. Patients scheduled for surgery under general anesthesia were interviewed in the postoperative recovery room and at least a week after anesthesia and surgery by using a structured interview. Data from 19,575 patients are presented. A total of 25 awareness cases were identified (0.13% incidence). These occurred at a rate of 1-2 cases per 1000 patients at each site. Awareness was associated with increased ASA physical status (odds ratio, 2.41; 95% confidence interval, 1.04-5.60 for ASA status III-V compared with ASA status I-II). Age and sex did not influence the incidence of awareness. There were 46 additional cases (0.24%) of possible awareness and 1183 cases (6.04%) of possible intraoperative dreaming. The incidence of aware...Continue Reading

References

Jun 1, 1991·Anaesthesia·W H LiuA R Aitkenhead
Jun 1, 1970·British Journal of Anaesthesia·D D BriceJ E Utting
Sep 1, 1993·Anesthesiology·N MoermanJ Oosting
May 19, 1998·Anesthesia and Analgesia·S O RantaM Hynynen
Oct 20, 1998·Anesthesiology·I J Rampil
Apr 14, 1999·Anesthesiology·K B DominoF W Cheney
Feb 26, 2000·Anesthesiology·M M Ghoneim
Mar 1, 2000·Acta Anaesthesiologica Scandinavica·M M GhoneimC K Brown
Mar 7, 2000·Lancet·R H SandinC Lennmarken
Mar 29, 2001·Anesthesia and Analgesia·G MychaskiwB J Heath
May 26, 2001·Anesthesiology·M F O'ConnorJ Apfelbaum
Sep 7, 2001·General Hospital Psychiatry·J E OstermanB A van der Kolk
Dec 26, 2001·Anesthesiology·Martin Luginbühl, Thomas W Schnider
Apr 10, 2002·Acta Anaesthesiologica Scandinavica·C LennmarkenR Sandin
Apr 20, 2002·Anesthesiology·Cor J Kalkman, John C Drummond
Jul 29, 2003·Anesthesiology·Brian K Bevacqua, David Kazdan
Dec 17, 2003·Acta Anaesthesiologica Scandinavica·A EkmanR Sandin

❮ Previous
Next ❯

Citations

Dec 15, 2010·Journal of Anesthesia·Yasuhiro MorimotoKenichi Masui
Dec 21, 2011·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Sony JacobH Michael Marsh
Apr 23, 2011·Journal of Clinical Psychology in Medical Settings·Robin R BruchasKaren B Domino
Dec 22, 2010·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Berthold DrexlerUwe Rudolph
Dec 25, 2010·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Dian-Shi Wang, Beverley A Orser
Mar 14, 2008·The New England Journal of Medicine·Beverley A Orser
Mar 14, 2008·The New England Journal of Medicine·Michael S AvidanAlex S Evers
Jan 30, 2008·Proceedings of the National Academy of Sciences of the United States of America·Michael T AlkireLarry Cahill
Apr 4, 2006·The International Journal of Clinical and Experimental Hypnosis·Carol Ginandes
Jun 17, 2011·The American Journal of Bioethics : AJOB·Alexander A Kon
Aug 25, 2009·Journal of Palliative Medicine·Mellar P Davis
Oct 13, 2006·British Journal of Anaesthesia·K Girgirah, S M Kinsella
Oct 16, 2008·British Journal of Anaesthesia·J Ponte
Dec 17, 2009·British Journal of Anaesthesia·R W D Nickalls, R P Mahajan
Mar 14, 2013·British Journal of Anaesthesia·Michael S Avidan, George A Mashour
Mar 14, 2013·British Journal of Anaesthesia·J J PanditUNKNOWN 5th National Audit Project (NAP5) of the Royal College of Anaesthetists and the Association of Anaesthetists of Great Britai
Apr 24, 2008·Critical Care Medicine·Peter J Papadakos
Apr 2, 2008·Critical Care Medicine·Graziano C Carlon, Arthur Combs
Nov 8, 2008·Science·Michael T AlkireGiulio Tononi
Oct 3, 2012·PloS One·Yuri ShiogaiMartin Hasler
Dec 13, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Beverley A OrserAndrew J Baker
Jan 1, 2010·Sensors·Bojan Musizza, Samo Ribaric
May 21, 2013·Sensors·Mahmoud I Al-KadiMohd Alauddin Mohd Ali
Oct 1, 2010·Indian Journal of Anaesthesia·A Chaturvedi, Hh Dash
Mar 24, 2011·Future Medicinal Chemistry·Chris R J CarterSusan M J Dunn
Jan 8, 2013·Indian Journal of Anaesthesia·D Devika Rani, Ss Harsoor
Nov 7, 2008·British Journal of Anaesthesia·H J Blussé van Oud-AlblasF Weber
Jun 3, 2008·British Journal of Anaesthesia·C L ErrandoR García-Aguado
Sep 11, 2014·British Journal of Anaesthesia·J J PanditUNKNOWN Association of Anaesthetists of Great Britain and Ireland
Sep 11, 2014·British Journal of Anaesthesia·J J PanditUNKNOWN Association of Anaesthetists of Great Britain and Ireland
Sep 11, 2014·British Journal of Anaesthesia·T M CookUNKNOWN Association of Anaesthetists of Great Britain and Ireland
Sep 23, 2014·British Journal of Anaesthesia·A R Absalom, D Green
Sep 23, 2014·British Journal of Anaesthesia·K O Pryor, H C Hemmings
Sep 23, 2014·British Journal of Anaesthesia·J G Hardman, A R Aitkenhead
Oct 3, 2014·Computational and Mathematical Methods in Medicine·Seyed Mortaza MousaviMahrokh G Shayesteh

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.