Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-08T05:10:23.840Z Has data issue: false hasContentIssue false

Chapter 90 - Awareness under Anesthesia

from Section 12 - Post-Anesthesia Care Unit

Published online by Cambridge University Press:  03 August 2023

By
Kaitlyn Jakubec ,
Jessica A. Lovich-Sapola  and
Donald M. Voltz
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
Get access

Summary

A 46-year-old female with temporal-mandibular joint (TMJ) disease presents for a TMJ arthroplasty. This patient is a 155 cm, 62 kg woman with no known allergies or medical problems. She conveys to you that when she underwent a tubal ligation 7 years ago she remembers waking up during the surgery. As she describes her previous anesthetic misadventure, her anxiety level increases. What do you make of the previous anesthetic history in this patient? What would you tell this patient to alleviate her fears for this surgery? What are your anesthetic plan and management options for a patient with a prior episode of anesthetic awareness? What patients are at the highest risk of experiencing awareness under anesthesia?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 376 - 378
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bischoff, P, Rundshagen, I. Awareness under general anesthesia. Dtsch Arztebl Int 2011;108(1–2): 1–7.Google ScholarPubMed
Cascella, M, Bimonte, S, Amruthraj, NJ. Awareness during emergence from anesthesia: features and future research directions. World J Clin Cases. 2020;8(2):245–54.CrossRefGoogle ScholarPubMed
Griffith, D, Jones, JB. Awareness and memory in anaesthetized patients. Br J Anaesth 1990;65:603–7.Google Scholar
Sebel, PS. Awareness and memory during general anesthesia. ASA Annual Meeting Refresher Course Lectures, 2007.Google Scholar
Tasbihgou, SR, Vogels, MF, Absalom, AR. Accidental awareness during general anaesthesia: a narrative review. Anaesthesia 2018;73:112–22.CrossRefGoogle ScholarPubMed
Wang, M, Messina, AG, Russell, IF. The topography of awareness: a classification of intra-operative cognitive states. Anaesthesia 2012;67:1197–201.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×