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Some patients have higher anesthetic requirements, due to chronic alcohol or drugs.Įmpty vaporizers with no potent anesthetic liquid inside Efforts to expedite operating room turnover and minimize recovery room times.Ĥ. Intentionally light anesthesia administered to obstetric patients, in the attempt to avoid neonatal respiratory depression.ģ. Intentionally light anesthesia administered to patients who are hypotensive or hypovolemic, or those with limited cardiovascuar reserve.Ģ. The causes of intraoperative awareness include:ġ. These procedures include cardiac surgery, Cesarean sections under general anesthesia, trauma or emergency cases. Certain surgical procedures are higher risk for intraoperative awareness. The use of neuromuscular paralyzing drugs during the anesthetic.ĥ. Patients with previous history of intraoperative awareness.Ĥ. American Society of Anesthesiologists (ASA) Class 4 patients (patients with a severe systemic disease that is a constant threat to their life) and others with limited cardiovascular reserve.ģ. Patients with a history of substance abuse or chronic pain.Ģ. Patients at higher risk for intraoperative awareness include:ġ. Healthy patients are at minimal risk for intraoperative awareness. Assuming that approximately 20 million anesthetics are administered in the United States annually, the authors postulated that approximately 26,000 cases of intraoperative awareness occur each year. Awareness was associated with increased American Society of Anesthesiologists (ASA) physical status, i.e.
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Patients were scheduled for surgery under general anesthesia, and then interviewed in the postoperative recovery room and at least one week after anesthesia.Ī total of 25 awareness cases were identified, a 0.13% incidence, which approximates the 1 in 700 incidence quoted in the Awake movie trailer. If you are sick and you are having a high-risk procedure, the answer is yes.Ī key publication on this topic was the Sebel study. The Sebel study was a prospective, nonrandomized study, conducted on 20,000 patients at seven academic medical centers in the United States. If you undergo general anesthesia, do you have a 1 in 700 chance of being awake? If you are a healthy patient undergoing routine surgery, the answer is no. One out of 700 remain awake.”Īwake was not much of a commercial success, with a total box office of only $32 million, but the film did publicize the issue of intraoperative awareness under general anesthesia, a topic worth reviewing. Producer Joana Vicente told Variety that Awake “will do to surgery what Jaws did to swimming in the ocean.” The movie trailer airs a statement that states, “Every year 21 million people are put under anesthesia. How common is awareness under general anesthesia? In 2007, Hollywood released the movie Awake, in which the protagonist, played by Hayden Christensen (Anakin Skywalker from Star Wars) is awake during the general anesthetic for his heart surgery, and overhears the surgeon’s plan to murder him. REMIMAZOLAM: NEW WONDER ANESTHETIC DRUG OR MEDICAL WHITE ELEPHANT?.THE TOP 20 DOCTORS IN THE HISTORY OF ANESTHESIA.