Total recall - Awareness is an overestimated problem: Pro-Con
ESAIC Academy. Pandit J. 06/04/17; 184122; 160
Topic: General Anaesthesia
Abstract
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Intraoperative awareness with explicit recall occurs in 0.1–0.2% of patients undergoing general anaesthesia and may result in devastating psychological symptoms such as posttraumatic stress disorder. Despite several major trials such as the B-Unaware, the BAG-RECALL and the MACS trials the incidence of awareness is not clear as of yet. Recently, a National audit program (NAP5) has been performed across all the UK and Irish public hospitals to clarify the issue of accidental awareness during general anaesthesia. In this pro/con debate, the leading authors of this audit publication (Pandit) and the accompanying editorial (Absalom) will defend their position that awareness is an overestimated / underestimated problem in general anaesthesia.
Intraoperative awareness with explicit recall occurs in 0.1–0.2% of patients undergoing general anaesthesia and may result in devastating psychological symptoms such as posttraumatic stress disorder. Despite several major trials such as the B-Unaware, the BAG-RECALL and the MACS trials the incidence of awareness is not clear as of yet. Recently, a National audit program (NAP5) has been performed across all the UK and Irish public hospitals to clarify the issue of accidental awareness during general anaesthesia. In this pro/con debate, the leading authors of this audit publication (Pandit) and the accompanying editorial (Absalom) will defend their position that awareness is an overestimated / underestimated problem in general anaesthesia.
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