Awareness during surgery and anesthesia

Czech version

Authors: J. Málek
Authors‘ workplace: Klinika anesteziologie a resuscitace, 3. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha
Published in: Anest. intenziv. Med., 33, 2022, č. 2, s. 97-100
Category: Case Reports

Overview

This case report describes a retrospective case of awareness during anesthesia, the consequences of which are still manifested 35 years after the event. Although this complication is rare, it can have long-term effects. An overview of the incidence, risk factors, prevention options, and what to do if awareness during aaesthesia occurs is presented.

Keywords:

awareness during anesthesia – classification of awareness – incidence of awareness – monitoring of awareness

Sources

1. Spitellie PH, Holmes MA, Domino KB. Awareness during anesthesia. Anesthesiol Clin North Am. 2002 Sep;20(3):555-570. doi: 10.1016/s0889-8537(02)00005-6.

2. Hardman JG, Aitkenhead AR. Awareness during anaesthesia. Continuing Education in Anaesthesia Critical Care & Pain. 2005;5(6):183-186.

3. Beam M, Heitz JW. Bdělost během operace. In Heitz JW editor. Pooperační stavy, překlad J. Málek. 1. vydání. Praha: Grada; 2019. p. 305-310.

4. Sanders RD, Tononi G, Laureys S, Sleigh JW. Unresponsiveness ≠ unconsciousness. Anesthesiology. 2012 Apr;116(4):946-59. doi: 10.1097/ALN.0b013e318249d0a7. Cascella M, Bimonte S, Amruthraj NJ. Awareness during emergence from anesthesia: Features and future research directions. World J Clin Cases. 2020;8(2):245-254. doi:10.12998/wjcc.v8.i2.245.

5. Mędrzycka‑Dąbrowska W, Dąbrowski S, Gutysz‑Wojnicka A, Ozga D, Wojtaszek M. Unintended return of consciousness in a patient during surgery and general anesthesia. Eur Neurol. 2017;77(5-6):262-266. doi: 10.1159/000471510.

6. Ghoneim MM, Block RI, Haffarnan M, Mathews MJ. Awareness during anesthesia: risk factors, causes and sequelae: a review of reported cases in the literature. Anesth Analg. 2009 Feb;108(2):527-35. doi: 10.1213/ane.0b013e318193c634.

7. Sandhu K, Dash H. Awareness during anaesthesia. Indian J Anaesth. 2009;53(2): 148-157.

8. Cascella M, Bimonte S, Amruthraj NJ. Awareness during emergence from anesthesia: Features and future research directions. World J Clin Cases. 2020;8(2):245-254. doi:10.12998/wjcc.v8.i2.245.

9. Mashour GA, Esaki RK, Tremper KK, Glick DB, OConnor M, Avidan MS. A novel classification instrument for intraoperative awareness events. Anesth Analg. 2010;110:813-815.

10. Pandit JJ, Cook TM, editors. NAP5: Accidental Awareness During General Anaesthesia in the UK and Ireland. In: nationalauditprojects.org.uk [Internet] 2014. Available from: https://www.nationalauditprojects.org.uk/NAP5home?newsid=462#pt.

11. Buchanan FF, Myles PS, Leslie K, Forbes A, Cicuttini F. Gender and recovery after general anesthesia combined with neuromuscular blocking drugs. Anesth Analg. 2006 Jan;102(1):291-297. doi: 10.1213/01.ANE.0000181321.55422.C6.

12. Sleigh JW, Leslie K, Davidson AJ, Amor DJ, Diakumis P, Lukic V, et al. Genetic analysis of patients who experienced awareness with recall while under general anesthesia. Anesthesiology. 2019 Nov;131(5):974-982. doi: 10.1097/ALN.0000000000002877.

13. Divák J, Frelich M, Kula R. Monitorování hloubky celkové anestezie. Anest. intenziv. Med. 2016;27(6):349-357.

14. Horáček M. Monitorování počítačem zpracovaného EEG v anestezii I. Anest. intenziv. Med. 2022;33(2):Forthcoming.