(66.) The Joint Commission, Preventing, and Managing the Impact of, Anesthesia Awareness
, SENTINEL EVENT ALERT, Oct.
Funded by grants from the American Society of Anesthesiologists and the Foundation for Anesthesia Education and Research, the randomized, blinded, controlled studies will look separately at a broad group of 30,000 patients undergoing surgery and a more select group of 6,000 surgical patients at higher risk of "anesthesia awareness
." Results should be available in 3-4 years.
Unsettling central idea is "anesthesia awareness
," a supposedly rare phenomenon in which a patient seems to be unconscious, but is actually experiencing the pain of surgery without any way of expressing it.
When we were first asked to defend a New Hampshire anesthesiologist in a medical malpractice suit alleging "anesthesia awareness
," we admit we were skeptical of the claim.
The potential for a midsurgery awakening is rarely, if ever, discussed with patients and is often dismissed afterward by physicians, nurses, and family, said Carol Weihrer, president of the Reston, Virginia-based Anesthesia Awareness
The potential for a mid-surgery awakening is rarely, if ever, discussed with patients and is often dismissed afterward by physicians, nurses, and family, said Carol Weihrer, president of the Reston, Virginia-based Anesthesia Awareness
Psychological impact of unexpected explicit recall of events occurring during surgery performed under sedation, regional anaesthesia and general anaesthesia: data from the Anesthesia Awareness
"Heartless" is a medical thriller and focuses on a condition called "anesthesia awareness
" where a patient can't move his physique, yet can hear and see all that is happening around him/her.
Burnside et al., "Anesthesia awareness
and the bispectral index," The New England Journal of Medicine, vol.
The classification was used as diagnostic criteria of awareness under general anesthesia where group 1 and 2 patients were considered as positive for anesthesia awareness
. Patient's anesthesia record was consulted and the drugs and doses used at induction and maintenance of anesthesia at different stages of the surgery were noted down in a performa.
Novella and Tsakiris also discuss anesthesia awareness
as a possible explanation for near-death experience accounts, "Any anesthesiologist will tell you- that patients can wake up during anesthesia- that is a perfectly plausible explanation for those cases," Novella stated.