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Revista Brasileira de Anestesiologia
Print version ISSN 0034-7094
NUNES, Rogean Rodrigues et al. Risk factor for intraoperative awareness. Rev. Bras. Anestesiol. [online]. 2012, vol.62, n.3, pp.369-374. ISSN 0034-7094. http://dx.doi.org/10.1590/S0034-70942012000300009.
BACKGROUND AND OBJECTIVES: The intraoperative awareness is an adverse event in the general anesthesia, and may occur in approximately 20,000 cases per year, which justifies the study of the risk factors for this event. The objective of this study was to review this subject in order to reduce the incidence of intraoperative awareness and psychological sequelae incurring from this incident, which may result in post-traumatic stress disorder with negative repercussions on the surgical patient social, psychic and functional development. CONTENT: It was conducted a review of the intraoperative awareness assessing its different phases during general anesthesia such as dreaming, wakefulness, explicit and implicit memory, as well as the analysis, consequences and prevention of its main related factors. CONCLUSIONS: The reduction of awareness incidence during anesthesia is related to the anesthesiologist improved scientific and technical performance, involving issues such as monitoring, comprehension of the anesthesia activity components, hypnotic and analgesic drugs, neuromuscular blocking agents, autonomic and motor reflex control, in addition to the risk factors involved in this event.
Keywords : anesthesia; electroencephalography; intraoperative awareness; stress disorders; post-traumatic.