What it's like to wake up during surgery

Specialties CRNA

Published

What it's like to wake up during surgery

New research on this anesthetic awareness called "accidental awareness during general anesthesia" has found that there are deep psychological repercussions that result from this traumatic experience. A study published in Anaesthesia found that out of a patient population pool of over 3 million patients who received general anesthesia in the United Kingdom and Ireland, one in every 19,600 of them woke up during surgery. Numbers calculated in different studies in the United States found a greater frequency of one in 1,000 patients. In the new study, the patients self-reported which could askew the numbers.

Anesthetic awareness tended to happen more often in surgeries where the patient received paralytics with the anesthesia. Because they could not move, there was no way to communicate with the doctor.

The study also found that the patient in general woke up either before or after the actual procedure and not mid-incision.

According to CNN, "patients described a range of sensations, including choking, paralysis, pain, hallucinations, and near-death experiences. Most episodes were short-lived, with 75% of them lasting under five minutes."

Almost half of all patients who experienced anesthetic awareness suffered from psychological effects like PTSD and depression. The study found that even the short-lived episodes could adversely impact the patient.

Read more at http://www.philly.com/philly/health/Stuff_of_nightmares_Waking_up_during_surgery.html#P3eKwj81MTpWPgAV.99

Specializes in critical care, ER,ICU, CVSURG, CCU.

i do know what happen in 2011, I have my records

this guy ask nurses for dilaudid, each induction???

i have request to never have him again, never a problem with CRNAs

Specializes in Anesthesia.

He was probably front-loading the narcotics in order to theoretically saturate the mu receptors to help prevent pain during surgery. It would take much larger doses to induce general anesthesia with dilaudid.

We occasionally will induce with narcotics, usually fentanyl, because it is considered a cardiac stable induction.

There is also an anesthetic technique using only nitrous oxide and narcotics that some anesthesia providers, especially in the UK, like to use that has a high incidence of awareness.

Specializes in critical care, ER,ICU, CVSURG, CCU.

in th mid to late 70s, in Wash. DC nitrous narcotics was utilized more......i can buy front loading mu receptors ......

i do know what happen in 2011, I have my records

this guy ask nurses for dilaudid, each induction???

i have request to never have him again, never a problem with CRNAs

So no propofol, benzo, or any other type of drug was given?

The fact that he might use dilaudid for every induction isn't a problem, unless that is the ONLY drug he is using at induction - unless he's giving that and doing an inhalation induction on top of that with N2O and/or sevo. Like I said before - there's got to be more to this - something is not adding up. Even with high dose narcotics at induction, we would be likely to give additional drugs like midazolam.

+ Add a Comment