awareness

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Depth-of-Anesthesia Monitor and the frequency of intraoperative awareness.
Pollard RJ, Coyle JP, Gilbert RL and Beck JE 2007 Intraoperative awareness in a regional medical system Anesthesiology 106 269-274
There have been case reports of patients experiencing intraoperative awareness despite receiving anesthetic doses significantly greater than those which would render most patients unconscious.
Intraoperative awareness is a serious concern, as any anesthesiologist who cares about his or her patients would agree.
It is obvious that the BIS monitoring system has the potential to be a very valuable tool in monitoring anesthetized patient not just in avoiding cases of intraoperative awareness, but also in helping the clinicians and anesthetists to make important and informed decisions that can effect patient outcome and well being.
Dr Osterman's research on 16 patients who had suffered intraoperative awareness found that they had felt abandoned and terrified at the time, and experienced a sense of betrayal and helplessness that stayed with them long afterwards.
Dr Osterman's research on 16 patients who had suffered intraoperative awareness found they had felt abandoned and terrified at the time,and experienced a sense of betrayal and helplessness that stayed with them long afterwards.
The limitation of our study is that it did not assess the long term psychological sequelae of intraoperative awareness and recall among the victims.
The questions asked were whether anaesthesia had been satisfactory and whether the patient had had an episode of intraoperative awareness.
Finally, all patients were visited in the post-anaesthesia care unit and on the first and third postoperative days and interviewed about intraoperative awareness by a standardised interview (18).
Brain function monitoring is not indicated for routine use among patients undergoing general anesthesia, either as a way of reducing intraoperative awareness or to monitor the depth of anesthesia, according to a practice advisory from the American Society of Anesthesiologists.

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