Intraoperative Awareness during General Anesthesia: Experience in 200 Patients in “185’s Hospital for Emergency Surgeries and Burn”. (An Observational Questionnaire-based Study)

Heggy, Eslam Ragab; Abbas, Sherif Mamdouh; Mawla, Atef Galal Abd El; Adolf, Mina; Fetouh, Ahmed Mohamed

doi:10.3889/oamjms.2020.4453

Cited by 6 publications

(7 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Three studies were poor quality with high concerns for bias. Of these, none provided information on blinding of the assessor and performed post-operative awareness with recall interviews on only one occasion in the early post-operative period reducing the likelihood of capturing positive results, 45,65,73 two did not provide demographic information on participants lost to follow-up, 65,73 and one did not provide clear information about outcome assessment. 45…”

Section: Resultsmentioning

confidence: 99%

“…These included randomised controlled trials (RCTs) (23 of 64), 34, non-randomised interventional trials (19 of 64), [59][60][61][62][63][64][65][66][67][68][69][70][71][72][73][74][75][76][77] and cohort studies (22 of 64). 4,9,17,18,20,[78][79][80][81][82][83][84][85][86][87][88][89][90][91][92][93][94] Studies were conducted in 20 countries, including four multi-national studies, 9,17,18,34 studies were fair quality with some concerns for bias, the most common reasons being lack of blinding of assessors to outcome or study groups.…”

Section: Study Characteristics Are Outlined In Table 1 (Additional In...mentioning

confidence: 99%

See 1 more Smart Citation

The impact of female sex on anaesthetic awareness, depth and emergence: A systematic review and meta-analysis

Braithwaite

Payne

Duce

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Accumulating evidence supports sex differences in pharmacodynamic and pharmacokinetic drug profiles. However, recommended anaesthetic drug doses are not sex-adjusted, likely due to limited studies comparing sexes. Our objective was to systematically synthesise studies of anaesthetic key performance indicators (anaesthesia awareness), and markers of relatively lighter anaesthesia, time to emergence and dosing to achieve adequate depth of anaesthesia, for females and males. Methods: MEDLINE, Embase, and the Cochrane library databases. Studies were identified from inception of database to August 2nd, 2022. Controlled clinical trials (randomised and non-randomised) and prospective cohort studies that reported outcomes by sex for awareness with post-operative recall, connected consciousness during anaesthesia, depth of anaesthesia, and emergence from anaesthesia. Two authors undertook search, review, selection, and data abstraction. Risk of bias was assessed using the Newcastle Ottawa Scale. Results were synthesized by random effects meta-analysis where possible, or narrative form. Results were expressed as odds ratios (ORs) and mean differences (MDs) with corresponding 95% confidence intervals (CIs). Results: Of the 19,749 studies identified from literature search, 66 citations of 64 studies (98,243 participants; 53,143 females and 45,100 males) were eligible for inclusion, of which 44 contributed to meta-analysis. Females had a higher incidence of awareness with post-operative recall (33 studies, OR 1.37, 95%CI 1.09 to 1.75) and connected consciousness during anaesthesia (3 studies, OR 2.09, 95% CI 1.04 to 4.23) than males. Time to emergence was faster in females than in males, including time to eye-opening (10 studies, MD -2.28 min, 95% CI -3.58 to -0.98), and time to response to command (6 studies, MD -2.84 min, 95% CI -4.07 to -1.62). Data on depth of anaesthesia were heterogenous limiting synthesis to a qualitative review which did not identify differences by sex. Conclusion: Female sex was associated with a greater incidence of anaesthetic awareness, as well as faster emergence from anaesthesia. These data suggest reappraisal of anaesthetic care, including whether similar drug dosing for females and males represents best care. Equitable outcomes for females undergoing general anaesthesia warrants strategic focus in future research.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Study Characteristics Are Outlined In Table 1 (Additional In...mentioning

confidence: 99%

The impact of female sex on anaesthetic awareness, depth and emergence: A systematic review and meta-analysis

Braithwaite

Payne

Duce

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Pacientes com recordação podem ser divididos entre aqueles que recordam eventos concretos associados à cirurgia (consciência) e aqueles que não conseguem descrever suas sensações com precisão suficiente para considerá-los como fragmentos de eventos que ocorreram durante cirurgia. (HEGGY et al, 2020).…”

Section: Discussionunclassified

“…A incidência de memória intraoperatória é de 1 em 200 (HEGGY et al, 2020), sendo a verdadeira de 6 em 14.308 casos (0,04% ou aproximadamente 4 em 10.000). Assumindo que aqueles julgados com memória intraoperatória possível também a tiveram verdadeiramente, esta representa uma incidência mínima mais alta de 14 em 14.308 (0,09% ou aproximadamente 1 em 1000).…”

Section: Discussionunclassified

Memória Explícita Intraoperatória: Uma Revisão De Literatura

Romero¹,

Bezerra²,

Alvarenga³

et al. 2022

RECIMA21

View full text Add to dashboard Cite

INTRODUÇÃO: O uso de substâncias anestésicas para a realização de cirurgias é indispensável, porém lembrar desses eventos após o ocorrido é uma complicação grave. OBJETIVOS: Investigar a ocorrência de memória explícita intraoperatória na literatura atual, identificar dados relevantes ao acontecimento e correlacioná-los. MÉTODOS: Foi realizada uma pesquisa literária, em que foram buscados estudos na base de dados do Google Scholar, BvSalud, Pubmed, LILACs, Scielo a partir das palavras-chaves: Memória, período intraoperatório, consciência no peroperatório, anestesia geral, memory, intraoperative period, intraoperative awareness, anestesia general. Foram encontrados, inicialmente, 20.200 artigos. Desses, foram excluídos, revisões de literatura, teses de doutorado, dissertação de mestrado, sendo utilizados, no total, 18 artigos, sendo esses estudos publicados entre 2019 e 2021. RESULTADOS: No presente estudo, houve uma investigação se a anestesia manejada por residentes pode aumentar a incidência de consciência no intraoperatório autorrelatada em comparação com a anestesia manejada por anestesistas. Com base nos dados brutos dos pacientes, o manejo da anestesia por anestesistas aumentou a incidência de consciência em comparação com o manejo da anestesia pelos residentes. No entanto, com base nessa análise do escore de propensão dos dados do paciente, o manejo da anestesia pelos anestesistas não aumentou a incidência de conscientização. CONCLUSÃO: A investigação da ocorrência de memória intraoperatória é realizada por especialistas e por seus instrumentos de pesquisa, nesse pressuposto trabalho foram identificados que o sexo feminino, junto a extremos de idades e pré-procedimentos anestésicos são causas dessas memorias no ambiente cirúrgico.

show abstract

“…General anesthesia is a drug-induced reversible condition characterized by unconsciousness, amnesia, analgesia and akinesia (3) created by a balance between the amount of anesthetics administered and the patient's arousal (1). Recall is the patient's ability to retrieve memories that are assessed by the patient's reports of past events, especially those that occurred during general anesthesia (4,5). The prevalence of anesthesia awareness varies from 0.11% to 43% in adults and 5% in children (5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Occurrence of Anesthesia Awareness with Recall in Opium-Addicted and Non-Addicted Patients Undergoing Pelvic and Abdominal Surgery

Madah

Yousefi

Bakhsha

et al. 2021

jcbr

View full text Add to dashboard Cite

Background and objectives: Intraoperative awareness is accidental or unintentional awareness during general anesthesia that occurs when complete anesthesia has not been achieved. The aim of this study was to investigate the occurrence of awareness with recall during general anesthesia in opium-addicted and non-addict patients undergoing abdominal and pelvic surgeries. Methods: The study population consisted of patients undergoing abdominal and pelvic surgeries under general anesthesia in two hospitals in Gorgan, Northeast of Iran. Data were collected 20-36 hours after the surgery using a three-part questionnaire on demographic information, surgery and anesthesia details and anesthesia awareness and recall of events. Data were analyzed in SPSS (version 18) using the Chi-square test. Results: Of 206 patients, 53.9% were male and 56.3% were undergoing abdominal surgery. None of the patients in the two groups felt hearing, pain, cold or heat during anesthesia, and neither of them dreamed or recalled any event during the anesthesia and surgery period. There was no statistically significant difference between the two groups in terms of anesthesia awareness with recall. According to the patients, the night before the operation, opium addicts were more anxious the night before the surgery and felt more pain right after the surgery. Conclusion: There is no statistically significant difference in terms of occurrence of anesthesia awareness between opium-addicted and non-addicted patients undergoing pelvic and abdominal surgeries. However, opium addicts experience significantly higher level of anxiety the night before surgery compared to non-addicts. In addition, opium addicts experience more pain immediately after recovery.

show abstract

Intraoperative Awareness during General Anesthesia: Experience in 200 Patients in “185’s Hospital for Emergency Surgeries and Burn”. (An Observational Questionnaire-based Study)

Cited by 6 publications

References 27 publications

The impact of female sex on anaesthetic awareness, depth and emergence: A systematic review and meta-analysis

The impact of female sex on anaesthetic awareness, depth and emergence: A systematic review and meta-analysis

Memória Explícita Intraoperatória: Uma Revisão De Literatura

Evaluation of the Occurrence of Anesthesia Awareness with Recall in Opium-Addicted and Non-Addicted Patients Undergoing Pelvic and Abdominal Surgery

Contact Info

Product

Resources

About