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| | Anesthesia - Wikipedia, the free encyclopedia |
 | | Dioscorides for example reports of in anesthesia from an accredited program and are supervised directly by an anesthesiologist. | | | regional anesthesia — with reversible loss of sensation and possibly movement in a region of the body by selective blockade of sections of the spinal cord or nerves supplying the region. | | | Isolated in 1859 it was first used by Karl Koller, at the suggestion of Sigmund Freud, in ophthalmic surgery in 1884. |
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http://en.wikipedia.org/wiki/Anesthesia
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| | Joint Commission Resources : Strategies for Combating Anesthesia Awareness |
| | The likelihood of experiencing anesthesia awareness increases among cardiac surgery, obstetric, and severe trauma patients as the level of anesthesia used in these cases is less than other types of surgery and might not be sufficiently deep to prevent awareness. | | | While most patients do not experience anesthesia awareness, staff should be aware of the issue and know how to manage patients that experience this sort of awareness. | | | Because anesthesia awareness cannot always be prevented, health care practitioners must be prepared to acknowledge and manage the occurrence of anesthesia awareness when it does happen. |
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http://www.jcrinc.com/publications.asp?durki=9260&site=4&return=9258
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| | AORN ONLINE: Journal: January 2005: Clinical Issues |
| | During the discharge process, the patient should be instructed to inform all future anesthesia care providers about his or her potential for anesthesia awareness. | | | Anesthesia awareness has been documented to occur more frequently during cesarean sections, surgery resulting from trauma, and cardiac surgery. | | | If a history of awareness is discovered, the preoperative nurse should notify the anesthesia care provider and all other perioperative team members immediately of the potential risk for anesthesia awareness. |
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http://www.aorn.org/journal/2005/janci.htm
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| | ABC News: 'Anesthesia Awareness': When Patients Wake Up During Surgery |
| | Weihrer experienced "anesthesia awareness" — or what doctors call "awareness with recall" — when patients aren't fully anesthetized and are aware they're being operated on. | | | The second study, published in January in a Scandinavian anesthesiology journal, found that 0.04 percent of 4,945 monitored patients had suffered anesthesia awareness, compared to 0.18 percent of 7,826 patients in a standard care group. | | | The commission suggested that hospitals and health-care facilities that perform surgery using general anesthesia develop a policy that includes, among other steps, education of staff, identification of patients at particularly high risk and conducting postoperative follow-up to detect any problems. |
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http://abcnews.go.com/Health/Healthology/story?id=205890
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| | washingtonpost.com: Wake-Up Call |
| | General anesthesia typically consists of three kinds of drugs: a paralytic to prevent movement; a hypnotic gas or intravenous drug that renders the patient unconscious and unable to remember what happened or to feel pain signals; and a painkiller. | | | It is the job of the anesthesiologist or nurse anesthetist to continuously monitor the patient's condition through vital signs including blood pressure, respiration and heart rate to ensure the patient is unconscious, stable and pain-free. | | | Physicians and nurses "must balance the psychological risks of anesthesia awareness against the physiological risks of excessive anesthesia," said JCAHO president Dennis S. O'Leary. |
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http://www.washingtonpost.com/ac2/wp-dyn/A4207-2004Nov22?language=printer
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| | Nursing Spectrum- Career Fitness Online - verbal abuse |
| | Identify patients at proportionately higher risk for an awareness experience and discuss the potential for anesthesia awareness with such patients before surgery. | | | Anesthesia awareness, according to McKibban, occurs under general anesthesia, when patients become aware of and can recall something happening in the operating room during surgery or a procedure. | | | Nursing staff and anesthesia providers should be trained, Weihrer says, never to deny the awareness occurred or say that it was a dream. |
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http://nsweb.nursingspectrum.com/cfforms/GuestLecture/UnderButAware.cfm
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| | Anesthesia Patient Safety |
| | As a result of her experience, Liska is dedicated to patient and healthcare provider education in the area of anesthetic awareness, with an emphasis on therapy and research. | | | She holds a doctorate in divinity and a doctorate in pastoral psychology, and is the founder and president of AWARE (Awareness With Anesthesia Research Education). | | | “Writing about my experience with anesthetic awareness has allowed me to take a horrifying experience and affect the lives of others positively,” said Liska. |
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http://www.anesthesiapatientsafety.com/patients/ss/silenced_screams.asp
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| | Infection Control Today - Study Documents U.S. Incidence of Intraoperative Awareness |
| | Studies show that awareness can be a traumatic experience for patients and result in the development of long-term psychological problems. | | | As a result, they may be awake during surgery, aware of what is happening and retain memory of this experience after the surgery is over. | | | As part of this commitment, awareness experts from around the world have collaborated to define the scope of the problem of awareness and to determine the impact of additional monitoring on patient outcomes," said Paul Manberg, PhD, vice president of clinical, regulatory and quality assurance for Aspect. |
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http://www.infectioncontroltoday.com/hotnews/48h30112134.html
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| | anesthesiaawareness.com |
| | Anesthesia Awareness has been one of the best-kept secrets in anesthesia, and was, at one time, one of the least-known phenomena in the medical or legal fields in general. | | | But there are still many doctors I have talked to who are amazed awareness occurs, and are unaware of the extent of the problem, the tremendous post-operative effects on mind and body, or the attitude of the professionals in the anesthesia field. | | | Patients are rarely told whether they will be paralyzed during the surgery, or if and what type of monitors will be used to determine the level of consciousness of the patient. |
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http://www.anesthesiaawareness.com/index2.ivnu
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| | Anes514 |
| | Nine consecutive patients who had experienced anesthesia awareness, and who had been given information and repeated discussion postop until the patients felt that they were satisfied and did not need further contact, were contacted two years later. | | | Survey of Australian women who had experienced anesthesia awareness (1950s to early 1990s); graphic descriptions and wide range of symptomatology, but almost universal lack of understanding or helpful management by medical personnel (patients were disbelieved, ignored, scoffed at or laughed at). | | | Discussion of anesthesia awareness from an anesthesia perspective. |
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http://womensmindbodyhealth.info/anes514.htm
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| | Intra-Operative Awareness (IOA) |
| | According to her anesthesia awareness web site, many doctors are unfamiliar with the long-range problems associated with IOA. | | | Fortunately, this terrifying ordeal can often be avoided when patients are informed about anesthesia dangers and then make a point of communicating their concerns to doctors and anesthesiologists. | | | Some anesthesia procedures leave the patient paralyzed during the operation, making it impossible to communicate anesthesia awareness. |
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http://www.anapsid.org/cnd/drugs/anesthesia2.html
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| | Aspect Medical Systems Healthcare Professionals |
| | This study established that awareness with recall occurs in the U.S. at a rate of 1-2 cases per 1,000 patients receiving general anesthesia. | | | In this study, routine use of BIS monitoring reduced the incidence of awareness in the general patient population by 77% compared to historical control. | | | Three large-scale clinical trials conducted in the United States and abroad evaluated more than 30,000 patients to investigate the incidence of awareness with recall and the impact of BIS monitoring on predicting and preventing awareness. |
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http://www.aspectmedical.com/professionals/safety/default.mspx
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| | Health in a Heartbeat Radio Script: |
| | Patients who become aware of their surroundings are unable to alert doctors because anesthesia often includes drugs that induce temporary paralysis. | | | Patients who experience awareness during surgery should receive counseling and an explanation of what occurred. | | | Obviously, the benefits of needed surgery far outweigh the remote chance that anesthesia awareness could happen to you. |
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http://www.shands.org/health/heartbeat/Heartbeat_Detail.asp?ID=1949
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| | Closed Claims: Awareness during anesthesia |
| | All claims for intraoperative awareness were reviewed by the reviewers to identify patterns of causation and standard of care. | | | Logistic regression analysis was used to identify independent patient and anesthetic factors associated with claims for recall during general anesthesia compared to other general anesthesia malpractice claims. | | | Claims for recall during general anesthesia were more likely in women and with nitrous-narcotic-relaxant techniques. |
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http://depts.washington.edu/asaccp/ASA/Abstracts/Anesth90_1053_1061.shtml
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| | [No title] |
| | One of the more controversial aspects of anesthesia awareness is the use of electroencephalography or level-of-consciousness monitoring equipment. | | | In issuing the alert, Dennis S. O’Leary, M.D., president of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), maintained that anesthesia awareness is under recognized and under treated in health care organizations. | | | Other methods of reducing the risk of anesthesia awareness exist. |
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http://www.amnhealthcare.com/FeatureTopics.asp?ArticleID=13026
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| | JCAHO issues sentinel alert over inadequate anesthesia - Drug Topics |
| | While effective anesthesia monitoring would seem an ideal solution to prevent anesthesia awareness, appropriate techniques are still in their infancy. | | | Tom McKibban, CRNA, M.S., immediate past president of AANA, commented, "The JCAHO alert is a good starting point for developing a policy within the hospital to educate hospital personnel and physicians on what to look for." Identifying patients at risk is the No. 1 problem, followed by the proper treatment, he said. | | | Given the short time many surgical patients are hospitalized, O'Leary also expects follow-up would be needed after discharge. |
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http://www.drugtopics.com/drugtopics/article/articleDetail.jsp?id=133840
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| | Waking During Surgery: A Real, Terrifying Nightmare -- ThirdAge |
| | General anesthesia is a combination of several drugs that block pain, paralyze the muscles so surgeons can cut tissue more easily and render patients unconscious and unable to remember the operation. | | | She had been living in pain from a severely scratched cornea for years and had already undergone 17 surgeries to try to fix it. | | | The Joint Commission on Accreditation of Healthcare Organizations, which accredits 85 percent of American hospitals, recently described the condition as "under-recognized" and "under-treated" and said hospitals and doctors should develop policies for avoiding it. |
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http://www.thirdage.com/news/articles/ALT02/05/04/15/ALT02050415-02.html
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| | ASHP News: 'Anesthesia Awareness' Receives Renewed Attention |
| | For the prevention of anesthesia awareness, the alert cites recommendations from the February 2000 issue of Anesthesiology, which suggests such actions as: | | | BETHESDA, MD, 06 October 2004 â” One or two persons in every 1000 who receive general anesthesia awaken during the surgery or procedure—a frightful experience for the patients and one that the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) wants hospitals and surgery facilities to prevent and manage. | | | Consider premedication with amnesiac drugs, such as a benzodiazepine or scopolamine, particularly when light anesthesia is anticipated, |
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http://www.ashp.org/news/ShowArticle.cfm?id=8074
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| | New Home |
| | The patient is paralyzed, and totally helpless to communicate their awareness. | | | There are many great, thorough, vigilant, and compassionate anesthesia professionals, and for that we should always be grateful! | | | While I am a layperson, not a trained medical professional, through my work with the Anesthesia Awareness Campaign, I think it fair to say that I am considered the lay expert in the field of Anesthesia |
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http://www.anesthesiaawareness.com
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| | Carol Weihrer - Wikipedia, the free encyclopedia |
| | Weihrer's website, Anesthesia Awareness, reports that the information contained within it represents only her experiences, views, research, and knowledge. | | | After 14 unsuccessful surgeries to relieve the increasing severity of the pain, in 1998 she underwent an eye removal surgery and reportedly woke-up from anesthesia during the procedure | | | Weihrer received an out of court settlement and maintains that she suffers from post-traumatic stress disorder as result of her experience |
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http://en.wikipedia.org/wiki/Carol_Weihrer
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| | USNews.com: Health: In Brief: Public Health: Anesthesia awareness: Brain monitors get a 'tepid ' endorsement |
| | But it's just a baby step." Weihrer, who after her experience created a Web-based effort called Anesthesia Awareness Campaign, wants to see ASA emphasize to its members the need to ask all anesthesia patients whether they awakened during surgery, to investigate all such reports, and to provide psychological counseling when necessary. | | | Anesthesia awareness: Brain monitors get a 'tepid ' endorsement | | | Among them: cardiac patients under light anesthesia to keep the heart from being stressed; trauma patients for the same reason; emergency cesarean patients whose anesthesia has to be minimized to protect the baby—and patients who express concern about awareness. |
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http://www.usnews.com/usnews/health/briefs/publichealth/hb051026a.htm
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| | Behavior OnLine Forums - Anesthesia Awareness |
| | And I think that it is not a difficult or expensive test to see if EMDR will help you because you'd know within a few sessions. | | | The reexperiencing of this event in EMDR--would it be similar to what I experience in flashbacks? | | | P.S. I do feel some relief that you think EMDR could help. |
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http://www.behavior.net/bolforums/printthread.php?t=538
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