This page is part of the 10N-Matrix for a high quality conduct of pediatric anesthesia.
Postoperative recall of sensory perception during general anaesthesia (no consensus definition available).
- accidental awareness is a significant anesthetic complication with an incidence of GA: 0.7% (0.3-1.2%) (Davidson 2011)
- NAP5-Report: incidence unclear, probably under-reported
- unknown, may have major implications on social life
- these include postoperative neuro-behavioural changes and post-traumatic stress disorders
- (classic) rapid sequence induction
- difficult airway
- seniority and training of anesthesiologist
- drug errors and equipment failure
- teaching and training of anesthetic staff
- appropriate monitoring of drugs and drug effects
- suspected acute intra-operative awareness: Deepen anesthesia appropriately
- beware that midazolam may not erase implicit memory
- evaluation and follow-up and support the patient with suspected awareness
- Sury M. Accidental awareness during anesthesia in children. Pediatric Anesthesia 2016; 26: 468.
- Pandit JJ, Andrade J, Bogod DG, Hitchman JM, Jonker WR, Lucas N, Mackay JH, Nimmo AF, O’Connor K, O’Sullivan EP, Paul RG, Palmer JH, Plaat F, Radcliffe JJ, Sury MR, Torevell HE, Wang M, Hainsworth J, Cook TM; Royal College of Anaesthetists; Association of Anaesthetists of Great Britain and Ireland. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings and risk factors. Br J Anaesth. 2014;113:549.
- Davidson AJ et al. Awareness in children: a secondary analysis of five cohort studies. Anaesthesia. 2011 Jun;66(6):446-54.
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- No Fear / No Awareness
- Normal Heart Rate
- No Postoperative Discomfort:
- No Pain
- No PONV
- No Emergence Delirium