Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-26T19:06:49.884Z Has data issue: false hasContentIssue false
  • English
  • Français

Recollection of dreams after short general anaesthesia: influence on patient anxiety and satisfaction

Published online by Cambridge University Press:  02 June 2005

K. Hellwagner ,
A. Holzer ,
B. Gustorf ,
K. Schroegendorfer ,
M. Greher ,
M. Weindlmayr-Goettel ,
B. Saletu  and
F. X. Lackner
K. Hellwagner
Affiliation:
University of Vienna, Department of Anaesthesia and General Intensive Care (A & B), Vienna, Austria
A. Holzer
Affiliation:
University of Vienna, Department of Anaesthesia and General Intensive Care (A & B), Vienna, Austria
B. Gustorf
Affiliation:
University of Vienna, Department of Anaesthesia and General Intensive Care (A & B), Vienna, Austria
K. Schroegendorfer
Affiliation:
University of Vienna, Department of Anaesthesia and General Intensive Care (A & B), Vienna, Austria
M. Greher
Affiliation:
University of Vienna, Department of Anaesthesia and General Intensive Care (A & B), Vienna, Austria
M. Weindlmayr-Goettel
Affiliation:
University of Vienna, Department of Anaesthesia and General Intensive Care (A & B), Vienna, Austria
B. Saletu
Affiliation:
University of Vienna, Department of Psychiatry, Vienna, Austria
F. X. Lackner
Affiliation:
University of Vienna, Department of Anaesthesia and General Intensive Care (A & B), Vienna, Austria
Get access

Extract

Summary

Background and objective: We ascertained whether dreams during short general anaesthesia influence subsequent patient satisfaction and anxiety.

Methods: Fifty female patients were randomized into two groups to test for a difference between intravenous and inhalational anaesthesias. In Group Propo, anaesthesia was induced and maintained with propofol; in Group Metho–Iso, anaesthesia was induced with methohexital and maintained with isoflurane. Satisfaction and anxiety with anaesthesia were evaluated using a visual analogue scale from 0 to 100. Dream incidence rate, satisfaction and anxiety were assessed from immediately after waking until 3 months later.

Results: Seventeen patients (34%) dreamed during anaesthesia. There were no significant differences in satisfaction or anxiety after anaesthesia between the dreaming and non-dreaming patients (satisfaction, 92.3 ± 21.6 versus 92.1 ± 21.6; anxiety, 21.1 ± 21.1 versus 30.3± 32.1), or between Group Propo and Group Metho–Iso (satisfaction, 94.4 ± 19.3 versus 90.0 ± 23.4; anxiety, 26.0 ± 27.6 versus 28.4 ± 30.7). There was no significant difference in the incidence rate of dreaming with the type of anaesthesia used (Group Propo, 11 patients; Group Metho–Iso, 6 patients).

Conclusions: Dreaming during general anaesthesia is common but does not influence satisfaction or anxiety after anaesthesia.

Keywords

ANAESTHESIA GENERAL, anaesthesia inhalation, anaesthesia intravenousBEHAVIOUR, personal satisfactionEMOTIONS, anxietyMENTAL PROCESSES, cognition, dreams, imaginationPSYCHOLOGICAL PHENOMENA, sleep
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 20 , Issue 4 , April 2003 , pp. 282 - 288
Copyright
© 2003 European Society of Anaesthesiology

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

Saletu B, Wessely P, Grünberger JM, Schultes M. Erste klinische Erfahrungen mit einem neuen schlafanstoßenden Benzodiazepin, Cinolazepam, mittels eines Selbstbeurteilungsbogens für Schlaf und Aufwachqualität (SSA). Neuropsychiatrie 1987; 1: 169–176.Google Scholar
Pfenninger E. Zerebrale Effekte des Ketamin – eine neue Sicht? Anaesthesist 1994; Suppl. 2: 1.Google Scholar
Smith I, Terhoeve PA, Hennart D, et al. A multicentre comparison of the costs of anaesthesia with sevoflurane or propofol. Br J Anaesth 1999; 83: 564–570.Google Scholar
Eberhart LH, Seeling W. Droperidol supplemented anaesthesia decreases postoperative nausea and vomiting but impairs postoperative mood and well-being. Eur J Anaesthesiol 1999; 16: 290–297.Google Scholar
Marsch SCU, Schäfer H-G, Tschan C, Meier B. Dreaming and anaesthesia: total i.v. anaesthesia with propofol versus balanced volatile anaesthesia with enflurane. Eur J Anaesthesiol 1992; 9: 331–333.Google Scholar
Oxorn D, Orser B, Ferris LE, Harrington E. Propofol and thiopental anaesthesia: a comparison of the incidence of dreams and preoperative mood alterations. Anesth Analg 1994; 79: 553–557.Google Scholar
Ensink F-BM, Schwabe K, Bittrich B, Kuhn U, Weingarten J, Schenk HD. Vergleich des Anaesthesieverlaufes bei Bolusapplikation von Propofol, Methohexital bzw. Etomidat als Hypnotikum unter Alfentanil-Analgesie. Anaesthesist 1989; 38: 333–340.Google Scholar
Martinez-Villar ML, dEste-Gonzales JP, Aren-Frontera JJ. Alucinaciones eróticas asociadas al uso de propofol. Rev Esp Anestesiol Reanim 2000; 47: 90–92.Google Scholar
Schaer H, Prochaka K. Erholung, Amnesie und Befindlichkeit nach Propofol im Vergleich zu Thiopental. Anaesthesist 1990; 39: 306–312.Google Scholar
Zachny JP, Lichtor L, Thompson W, Apfelbaum JL. Propofol at a subanaesthetic dose may have abuse potential in healthy volunteers. Anesth Analg 1993; 77: 544–552.Google Scholar
Suttmann H, Juhl G, Baur B, Morgenstern W, Doenicke A. Visuelle EEG Analyse zur Steuerung intravenöser Narkosen mit Propofol. Anaesthesist 1989; 38: 180–188.Google Scholar
Veselis RA, Reinsel RA, Wronski M, Marino P, Tong WP, Bedford RF. EEG and memory effects of low-dose infusion of propofol. Br J Anaesth 1992; 69: 246–254.Google Scholar
Vogelsang J. The visual analog scale: an accurate and sensitive method for self-reporting preoperative anxiety. J Post Anesth Nurse 1988; 3: 235–239.Google Scholar
Kindler HK, Harms C, Amsler F, Ihde-Scholl T, Scheidegger D. The visual analog scale allows effective measurement of preoperative anxiety and detection of patients' anesthetic concerns. Anesth Analg 2000; 90: 706–712.Google Scholar
Plummer GF. Improved method for the determination of propofol in blood by high performance liquid chromatography with fluorescence detection. J Chromatogr Biomed Appl 1987; 421: 171–176.Google Scholar
Sandin R, Enlund G, Samuelsson P, Lennmarken C. Awareness during anaesthesia: a prospective case study. Lancet 2000; 355: 707–711.Google Scholar
Nordstrom O, Engstrom AM, Persson S, Sandin R. Incidence of awareness in total i.v. anaesthesia based on propofol, alfentanil neuromuscular blockade. Acta Anaesthesiol Scand 1997; 41: 978–984.Google Scholar
Ranta SO, Laurila R, Saario J, Ali-Melkkila T, Hynynen M. Awareness with recall during general anesthesia: Incidence and risk factors. Anesth Analg 1998; 86: 1084–1089.Google Scholar
Nasraway SA, Wu EC, Kelleher RM, Yasuda CM, Donnelly AM. How reliable is the Bispectral Index in critically ill patients? A prospective, comparative, single-blinded observer study. Crit Care Med 2002; 30: 1483–1487.Google Scholar
Holas A. TCI, Target Controlled Infusion – eine neue Dimension in der totalen intravenoesen Anesthesie. Stuttgart, Germany: Thieme, 1997: 34.
Schwender D, Mueller A, Klasif F, Faber-Zuellig E, Ilmberger J, Pöppel E. Recovery of psychomotor and cognitive functions after anaesthesia with propofol/alfentanil and thiopentone/isoflurane/alfentanil. Eur J Anaesthesiol 1994; 11: 147–148.Google Scholar
Kent E, Bacon D, Herrison P, Lema M. Sexual illusions and propofol sedation. Anesthesiology 1992; 77: 1037–1038.Google Scholar
Brandner B, Blagrove M, McCallum G, Bromley LM. Dreams, images and emotions associated with propofol anaesthesia. Anaesthesia 1997; 52: 750–755.Google Scholar
Reves GJ, Glass PSA, Lubarsky DA. Nonbarbiturate intravenous anaesthetics. In: Miller RD, ed. Anesthesia, 4th edn. New York, USA: Churchill Livingstone, 1994: 291–388.
Fragan RJ, Avram MJ. Barbiturates. In: Miller RD, ed. Anesthesia, 4th edn. New York, USA: Churchill Livingstone, 1994: 229–246.