The incidence of intra‐operative awareness during general anesthesia in China: a multi‐center observational study

Xu, Liyuan; Wu, Anne; Yue, Yun

doi:10.1111/j.1399-6576.2009.02016.x

Cited by 88 publications

(71 citation statements)

References 30 publications

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“…In a small study of our own patients, we found that mean INR remained below 1.4 and platelet counts above 150 9 10 9 .l À1 for up to 10 days postoperatively [4]. Other authors have reported more profound derangement.…”

mentioning

confidence: 44%

Extubation over a bougie in difficult airways: are we missing a trick?

Smith

Vaughan

2013

Anaesthesia

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confidence: 44%

Extubation over a bougie in difficult airways: are we missing a trick?

Smith

Vaughan

2013

Anaesthesia

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“…Volatile anesthetics were used in the control group, but quite often, such as during cardiac surgery, anesthesia had been maintained by total intravenous anesthesia (TIVA). Under these circumstances, one cannot use ETAC for anesthesia depth control, and TIVA alone can be a risk for AWR [50,51]. In 5,000 surgical patients who underwent TIVA [52], BIS monitoring reduced the incidence of awareness compared to the control group (0.14 % vs. 0.65 %, respectively).…”

Section: Eeg-based Monitoring To Prevent Intraoperative Awareness Durmentioning

confidence: 99%

Current Status of EEG-Based Depth-of-Consciousness Monitoring During General Anesthesia

Musialowicz

Lahtinen

2014

Curr Anesthesiol Rep

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Monitoring the level of consciousness during general anesthesia with processed electroencephalogram (EEG) monitors has become an almost routine practice in the operating room, despite ambiguous research results regarding its potential benefits. For the patient as well as the anesthesiologist, the primary concern with respect to general anesthesia is that there will be a lack of awareness and recall during surgery. Using EEG signals to monitor the depth of anesthesia should reduce the incidence of intraoperative awareness, lead to a reduction in drug consumption, prevent anesthesia-related adverse events, and enable faster recovery. These benefits have been associated with depth-of-anesthesia monitoring in small clinical trials, but larger studies of EEG-based monitoring have failed to confirm the results of the smaller studies. The results of recent studies that investigated the emergence of consciousness after general anesthesia and the mechanism of action of anesthetic drugs on the central nervous system may help us to understand the limitations of EEG-based monitors and why they do not perform better in large clinical trials. In this article, we review the current status of monitoring the hypnotic component of general anesthesia and discuss the results of recent studies and guidelines that pertain to depth-of-anesthesia monitoring.

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“…In essence, the investigators were sampling from the population of all general anaesthesia survivors from 1946 to the present, who had not previously reported any intra-operative recall, and who had also chanced to be exposed to the investigation team. Despite the lack of a gold standard, our opinion is that studies that have systematically questioned every patient in the populations studied [8][9][10][11][12][13] are likely to have produced more accurate estimates of AAGA incidence than the nationwide NAP5 audit. There is potentially a big difference in reliability in an audit project that depends on reports that can be provided relatively accurately by clinicians (e.g.…”

Section: Essential Findingsmentioning

confidence: 99%