DETECTING AWARENESS DURING GENERAL ANESTHETIC CESAREAN-SECTION - AN EVALUATION OF 2 METHODS

被引:35
作者
BOGOD, DG [1 ]
ORTON, JK [1 ]
YAU, HM [1 ]
OH, TE [1 ]
机构
[1] CHINESE UNIV HONG KONG,PRINCE WALES HOSP,DEPT ANAESTHESIA & INTENS CARE,SHA TIN,HONG KONG
关键词
awareness; Complications; Equipment; oesophageal contractility monitor;
D O I
10.1111/j.1365-2044.1990.tb14732.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Seventy‐four patients received general anaesthesia for Caesarean section. Seven percent of the elective group and 28% of the emergency patients reported dreaming or recall of voices during the procedure (p < 0.05) at postoperative interview. One patient from each group reported feeling pain or suffocation. All patients were monitored for awareness using the isolated forearm technique and lower oesophageal contractility. Provoked lower oesophageal contractility was the most effective of the different indices. A value greater than 35 mmHg on at least one occasion had a false negative rate of 33%, a false positive rate of 28% and a predictive value of 25%. A value greater than 13 mmHg picked up all patients who dreamed, with a false positive rate of 68%. Both of the ‘aware’patients had provoked lower oesophageal contractility response of greater than 70 mmHg, an attribute shared by only 8% of the rest. The isolated forearm was particularly ineffective. Copyright © 1990, Wiley Blackwell. All rights reserved
引用
收藏
页码:279 / 284
页数:6
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