Awareness Anesthesia
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Transcript of Awareness Anesthesia
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Awareness Anesthesia
Clécio | Fabiana Giglioli |Fernanda Teixeira | Luis Paulo Carneiro | Ricardo Coqueiro
SEMINAR
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SUMMARY
Ricardo| What is Awareness Anesthesia? Clécio | Why does Intraoperative Awareness Happen and why
are some Patients at Risk?Fabiana| Consequences of Awareness During General
AnesthesiaFernanda| How To Avoid / Prevent
Luis| Results
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Awareness Anesthesia occurs when a patient
becomes conscious during a surgical
procedure performed under general
anesthesia and subsequently has
recall of these events
• Physically unable;
• No pain;
• Disturbing and traumatic;
• Confusion, stress, or trauma associated with the experience;
• It may occur to some degree at a frequency of approximately 0.1% to 0.4% (1-4 per 1000 patients).;
• Lasting emotional or psychological consequences.
WHAT IS AWARENESS ANESTHESIA?
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AmnesiaX
Analgesia
XUnconsciousness
+/- Muscle Relaxation
Anesthesia
WHAT IS AWARENESS ANESTHESIA?
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WHY DOES INTRAOPERATIVE AWARENESS HAPPEN AND WHY ARE SOME PATIENTS AT RISK?
Is important to have highly trained anesthesia professionals involved in your surgery
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WHY DOES INTRAOPERATIVE AWARENESS HAPPEN AND WHY ARE SOME PATIENTS AT RISK?
In some high-risk surgeries, such as trauma, cardiac
surgery, emergency cesarean delivery, or in
situations involving a patient whose condition is unstable, using the usual dose of anesthetic drugs could harm
the patient.
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CONSEQUENCES OF AWARENESS DURING GENERAL ANESTHESIA
• It varies from person to person;
• The continuum of consequences may be minor such as no psychological consequences or negative effects, to some level of psychological or emotional stress, anxiety, or effects, to a severe level of psychological or emotional injury;
• Some individuals are even diagnosed with posttraumatic stress disorder
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CONSEQUENCES OF AWARENESS DURING GENERAL ANESTHESIA
Mental Trauma
The person MUST talk with a health
provider about his/her concerns.
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HOW TO AVOID / PREVENT?
Talking with your anesthetic provider
discuss your anesthesia options
elect the best and safest treatment for you during your operation
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HOW TO AVOID / PREVENT?
.
Be open and honest about your medical history, medication
use, and lifestyle habits
The risk of awareness is also reduced by simple steps and good
clinical practice: well-trained personnel; avoidance of paralytics unless necessary; careful checking
of drugs, doses and equipment; good monitoring, and careful
vigilance during the case.
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RESULTS
• It may have sufferer an enormous trauma;
• Some patients experience, leading to long-lasting after-effects such as nightmares, night terrors, flashbacks, and, in some cases even suicide;
• Early psychological counseling and support can reduce the amount of harm and chances of developing PTSD.
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?Did you Know?
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SEE YOU NEXT WEEK
Thank you for your atention!