fix" model) and Safety-II (a concerted effort to enable things to go right more often), may be applicable. 3 From a Safety-I perspective, the purpose of AAGA management is to ensure that the number of AAGA incidents is kept as low as possible or reasonably practicable. To prevent AAGA, we should identify its risk factors, use appropriate drugs in appropriate doses during general anesthesia for patients undergoing obstetric procedures, perform close monitoring (via nondepolarizing neuromuscular blockade and electroencephalography), and provide homogeneous anesthesia regardless of the facility or anesthesiologist's experience. A "reasonably practicable" AAGA incidence could be as low as that in patients undergoing non-obstetric procedures. However, the situation varies among patients; therefore, regardless of the number of preventive measures taken, the incidence of AAGA cannot be reduced to 0%.From a Safety-II perspective, the purpose of management is to ensure that things go right as much as possible. Considering the goal for patients, it is essential to prevent not only AAGA occurrence but also adverse maternal and neonatal outcomes associated with AAGA once it occurs. By screening for AAGA based on the assumption that AAGA occurs at a specific rate after general anesthesia for cesarean section, we can identify postpartum patients at high risk for PTSD occurrence and focus on providing them psychological support. Changing the medical management patterns associated with AAGA could also ensure social support to patients with AAGA and all postpartum patients in the high-risk psychological group.
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