Preventing and managing awareness during general anesthesia
<p><strong>Background</strong>: General anesthesia is a reversible state of a temporary loss of consciousness, analgesia, muscle paralysis, blunted autonomic responses and amnesia. To achieve this, an adequate depth of anesthesia should be maintained throughout the surgery. Awarene...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Slovenian Medical Association
2014-03-01
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| Series: | Zdravniški Vestnik |
| Subjects: | |
| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/1099 |
| _version_ | 1819237458893602816 |
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| author | Jelena Berger Polona Mušič Bernarda Logar Zakrajšek Dušan Mekiš |
| author_facet | Jelena Berger Polona Mušič Bernarda Logar Zakrajšek Dušan Mekiš |
| author_sort | Jelena Berger |
| collection | DOAJ |
| description | <p><strong>Background</strong>: General anesthesia is a reversible state of a temporary loss of consciousness, analgesia, muscle paralysis, blunted autonomic responses and amnesia. To achieve this, an adequate depth of anesthesia should be maintained throughout the surgery. Awareness is a serious complication of general anesthesia, which occurs when the depth of anesthesia is not appropriate due to various causes.</p><p>In this paper the underlying neurobiology of intraoperative awareness is presented, as well as risk factors for awareness and methods for assessing the depth of anesthesia. Possible psychological consequences of awareness and their management are also discussed. At the end, the recommendations for preventing intraoperative awareness are given.</p><p><strong>Conclusions</strong>: Awareness during general anesthesia may have adverse psychological sequelae in individual patients, therefore guidelines for preventing and managing of intraoperative awareness need to be adopted. In case of a possible awareness, the recommendations for offering a psychological support should also be followed.</p> |
| first_indexed | 2024-12-23T13:20:39Z |
| format | Article |
| id | doaj.art-24f3f308fd5b4c8984517c0312dd408e |
| institution | Directory Open Access Journal |
| issn | 1318-0347 1581-0224 |
| language | English |
| last_indexed | 2024-12-23T13:20:39Z |
| publishDate | 2014-03-01 |
| publisher | Slovenian Medical Association |
| record_format | Article |
| series | Zdravniški Vestnik |
| spelling | doaj.art-24f3f308fd5b4c8984517c0312dd408e2022-12-21T17:45:27ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242014-03-01832873Preventing and managing awareness during general anesthesiaJelena Berger0Polona Mušič1Bernarda Logar Zakrajšek2Dušan Mekiš3Klinični oddelek za anesteziologijo in intenzivno terapijo operativnih strok, UKC LjubljanaKlinični oddelek za anesteziologijo in intenzivno terapijo operativnih strok, UKC LjubljanaSPS Kirurška klinika, UKC LjubljanaOddelek za anesteziologijo, intenzivno terapijo in terapijo bolečin, UKC Maribor Medicinska fakulteta, Univerza v Mariboru<p><strong>Background</strong>: General anesthesia is a reversible state of a temporary loss of consciousness, analgesia, muscle paralysis, blunted autonomic responses and amnesia. To achieve this, an adequate depth of anesthesia should be maintained throughout the surgery. Awareness is a serious complication of general anesthesia, which occurs when the depth of anesthesia is not appropriate due to various causes.</p><p>In this paper the underlying neurobiology of intraoperative awareness is presented, as well as risk factors for awareness and methods for assessing the depth of anesthesia. Possible psychological consequences of awareness and their management are also discussed. At the end, the recommendations for preventing intraoperative awareness are given.</p><p><strong>Conclusions</strong>: Awareness during general anesthesia may have adverse psychological sequelae in individual patients, therefore guidelines for preventing and managing of intraoperative awareness need to be adopted. In case of a possible awareness, the recommendations for offering a psychological support should also be followed.</p>http://vestnik.szd.si/index.php/ZdravVest/article/view/1099depth of general anesthesiaintraoperative awarenessanesthesia complicationspreventionpost-traumatic stress disorder |
| spellingShingle | Jelena Berger Polona Mušič Bernarda Logar Zakrajšek Dušan Mekiš Preventing and managing awareness during general anesthesia Zdravniški Vestnik depth of general anesthesia intraoperative awareness anesthesia complications prevention post-traumatic stress disorder |
| title | Preventing and managing awareness during general anesthesia |
| title_full | Preventing and managing awareness during general anesthesia |
| title_fullStr | Preventing and managing awareness during general anesthesia |
| title_full_unstemmed | Preventing and managing awareness during general anesthesia |
| title_short | Preventing and managing awareness during general anesthesia |
| title_sort | preventing and managing awareness during general anesthesia |
| topic | depth of general anesthesia intraoperative awareness anesthesia complications prevention post-traumatic stress disorder |
| url | http://vestnik.szd.si/index.php/ZdravVest/article/view/1099 |
| work_keys_str_mv | AT jelenaberger preventingandmanagingawarenessduringgeneralanesthesia AT polonamusic preventingandmanagingawarenessduringgeneralanesthesia AT bernardalogarzakrajsek preventingandmanagingawarenessduringgeneralanesthesia AT dusanmekis preventingandmanagingawarenessduringgeneralanesthesia |