Updates in Awareness under General Anesthesia

Reda Khalil, A.M. Shaffik, Yasmien Mahmoud
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Abstract

Background: Awareness under general anaesthesia (AAGA) is still an uncommon yet worrying occurrence that might cause post-operative psychological anguish. The prevalence, risk factors, and preventative measures for AAGA are all investigated in depth in this research. Objective: This This review will describe the likelihood of consciousness while under general anaesthesia, and how to prepare for consciousness during surgery to reduce the risk of psychological complications after the procedure.. Conclusions: The best It seems that a dynamic mix of factors is the best technique for avoiding consciousness during anaesthesia. There are fewer preventative measures available during the emergence phase as compared to the induction and maintenance phases (e.g., use of short-acting BDZs in premedication to prevent AAWR at the induction). However, even at the emerging stage, there are very few practical ideas that may be especially successful at preventing this issue. The best method will include both the detection of high-risk patients and the implementation of suitable anaesthetic management measures. The use of instruments for monitoring and the cautious delivery of medications are examples of preventative measures. Neuromuscular monitoring by quantitative approaches is crucial since most instances of emerging consciousness can be related to a failure of neuromuscular recovery with a patient in complete recovery of consciousness.
全身麻醉下的意识更新
背景:全身麻醉下的意识障碍(AAGA)仍是一种不常见但令人担忧的现象,可能会造成术后心理痛苦。本研究对 AAGA 的发生率、风险因素和预防措施进行了深入调查。目的:本综述将描述全身麻醉时出现意识障碍的可能性,以及如何在手术过程中为意识障碍做好准备,以降低术后出现心理并发症的风险。结论:各种因素的动态组合似乎是避免麻醉期间出现意识障碍的最佳技术。与诱导和维持阶段相比,出现阶段可用的预防措施较少(例如,在诱导前用药中使用短效 BDZs 以预防出现意识障碍)。然而,即使在萌芽阶段,也很少有特别成功地预防这一问题的实用想法。最佳方法将包括发现高危患者和实施适当的麻醉管理措施。使用仪器进行监测和谨慎给药就是预防措施的例子。使用定量方法进行神经肌肉监测至关重要,因为大多数出现意识障碍的情况都可能与患者意识完全恢复后神经肌肉恢复失败有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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