Document Detail

Levels of consciousness during regional anesthesia and monitored anesthesia care: patient expectations and experiences.
MedLine Citation:
PMID:  19372336     Owner:  NLM     Status:  MEDLINE    
Complaints of "intraoperative awareness" after regional anesthesia and monitored anesthesia care have been reported. We hypothesized that this may be due to either unmet expectations regarding levels of consciousness or states of consciousness resembling general anesthesia. A structured interview assessing expected and experienced levels of consciousness was given to 117 patients who underwent regional anesthesia or monitored anesthesia care. Complete unconsciousness was the state most often expected and subjectively experienced. Furthermore, only 58% of patients had expectations set by the anesthesia provider. These data indicate that, from the patient's perspective, the boundary between general and nongeneral anesthesia is obscured.
Roy K Esaki; George A Mashour
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  108     ISSN:  1526-7598     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-04-17     Completed Date:  2009-04-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1560-3     Citation Subset:  AIM; IM    
Department of Anesthesiology, University of Michigan Medical School, Michigan, USA.
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MeSH Terms
Aged, 80 and over
Anesthesia, Conduction / psychology*
Anesthesia, General / psychology
Health Knowledge, Attitudes, Practice
Intraoperative Care
Mental Recall*
Middle Aged
Monitoring, Intraoperative* / methods
Patient Education as Topic
Patient Satisfaction*
Young Adult
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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