Awarness occurance reported to range from 0.2–1.0%, and is probably underestimated..
Here are the tips to avoid this complication....They are 12...
Consider amnestic premedication (midazolam, scopolamine)
Routine equipment checks: e.g., correct placement of vaporizer).
End-tidal monitoring of volatile anesthetics with low-concentration alarm).
Use of appropriate volatile anesthetic con- sertion centration or propofol dose for maintenance.
Realize potential for awareness with hypotension/ hypovolemia
Judicious use of neuromuscular blocking agents combined with careful monitoring.
Frequent checks of intravenous lines and pumps when using total intravenous anesthesia.
Quiet, professional operating room atmosphere: minimize auditory input.
Consider use of anesthetic depth monitor (Bispectral Index).
Calm reassurance when strong possibility of awareness suspected.
Kazanjian P. Complications in surgery: anesthesia complications. In: Mulholland W, Doherty G, eds. Anesthesia Complications. Philadelphia: Lippincott Williams & Wilkins, 2006:69–101
Comments
Post a Comment