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Published Paper Details
Paper Title:
Assessment of awareness in patients undergoing elective abdominal surgical procedure under general anaesthesia using Isoflurane - a prospective observational study.
Authors Name:
Dr Arun Prasath D
, Dr Vivekanand P , Dr Girimurugan N , Mr Chakkaravarthi V , Dr Lakshmi R
ABSTRACT:
BACKGROUND:
Intra-operative awareness is a nightmarish situation to patients undergoing general anaesthesia for surgical procedures. It is defined as unexpected and explicit recall of sensory perception of events while under anaesthesia1. This may occur due to light plane of anaesthesia. Awareness occurs despite adequate anaesthesia delivery in 1-2 among every 1000 Cases2. The use of BIS Monitoring also does not reduce awareness. There are many ways to assess intra-operative awareness of which Brice questionnaire is a relatively simple and easy test to administer for awareness. This study aims at evaluating the incidence of awareness using the Modified Brice Questionnaire.
METHODS:
A total of 100 elderly patients who were scheduled to undergo elective abdominal surgeries were recruited for the study. After Informed and written consent were obtained, they were briefed about general anaesthesia. They all underwent various elective abdominal surgical procedures under Isoflurane at a fixed MAC of 1.0. In the Post-operative period at 60 minutes at the end of Surgery, The patients were administered the Modified Brice questionnaire. The incidence of awareness was taken as the primary outcome. The Post-operative anxiety was taken as the secondary outcome.
RESULTS:
It was reported that the incidence of awareness among the study population was around 6% when administered general anaesthesia. Of the study population 11% of the individuals could recall dreams and about 12% suffered from anxiety after general anaesthesia. The questionnaire has a sensitivity of 78.26% (56.30% to 92.54%) and Specificity of 53.25% (41.52% to 64.71%).
CONCLUSION:
Awareness among geriatric population after general anaesthesia is Moderately reliably detected by using the Modified Brice questionnaire in addition to diagnosing post-operative anxiety among geriatric population undergoing general anaesthesia.
"Assessment of awareness in patients undergoing elective abdominal surgical procedure under general anaesthesia using Isoflurane - a prospective observational study.", International Journal of Science & Engineering Development Research (www.ijrti.org), ISSN:2455-2631, Vol.8, Issue 3, page no.149 - 153, March-2023, Available :http://www.ijrti.org/papers/IJRTI2303025.pdf
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ISSN:
2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator