• Anesthesia and analgesia · May 2005

    Case Reports

    A case of awareness despite an "adequate depth of anesthesia" as indicated by a Bispectral Index monitor.

    • Sally E Rampersad and Michael F Mulroy.
    • Department of Anesthesiology, Virginia Mason Medical Center, 1100 Ninth Ave., B2-AN, PO Box 900, Seattle, WA 98111, USA.
    • Anesth. Analg. 2005 May 1;100(5):1363-4, table of contents.

    AbstractWe report a case of awareness that occurred despite the presence of an "adequate" depth of anesthesia as measured by Bispectral Index. Our patient was at high risk for this complication. Hypotension limited the use of sevoflurane, and neuromuscular, sympathetic, and beta-adrenergic blockade prevented the patient from responding to his awareness. Preoperative use of opioids and gabapentin for chronic pain may have modified his response to anesthesia or affected his Bispectral Index reading. Our attempt to measure depth of anesthesia may have resulted in false reassurance concerning adequacy of anesthesia and contributed to awareness.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…