全身麻醉下的意识更新

Reda Khalil, A.M. Shaffik, Yasmien Mahmoud
{"title":"全身麻醉下的意识更新","authors":"Reda Khalil, A.M. Shaffik, Yasmien Mahmoud","doi":"10.21608/bjas.2023.236994.1250","DOIUrl":null,"url":null,"abstract":"Background: Awareness under general anaesthesia (AAGA) is still an uncommon yet worrying occurrence that might cause post-operative psychological anguish. The prevalence, risk factors, and preventative measures for AAGA are all investigated in depth in this research. Objective: This This review will describe the likelihood of consciousness while under general anaesthesia, and how to prepare for consciousness during surgery to reduce the risk of psychological complications after the procedure.. Conclusions: The best It seems that a dynamic mix of factors is the best technique for avoiding consciousness during anaesthesia. There are fewer preventative measures available during the emergence phase as compared to the induction and maintenance phases (e.g., use of short-acting BDZs in premedication to prevent AAWR at the induction). However, even at the emerging stage, there are very few practical ideas that may be especially successful at preventing this issue. The best method will include both the detection of high-risk patients and the implementation of suitable anaesthetic management measures. The use of instruments for monitoring and the cautious delivery of medications are examples of preventative measures. Neuromuscular monitoring by quantitative approaches is crucial since most instances of emerging consciousness can be related to a failure of neuromuscular recovery with a patient in complete recovery of consciousness.","PeriodicalId":8745,"journal":{"name":"Benha Journal of Applied Sciences","volume":"19 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Updates in Awareness under General Anesthesia\",\"authors\":\"Reda Khalil, A.M. Shaffik, Yasmien Mahmoud\",\"doi\":\"10.21608/bjas.2023.236994.1250\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Awareness under general anaesthesia (AAGA) is still an uncommon yet worrying occurrence that might cause post-operative psychological anguish. The prevalence, risk factors, and preventative measures for AAGA are all investigated in depth in this research. Objective: This This review will describe the likelihood of consciousness while under general anaesthesia, and how to prepare for consciousness during surgery to reduce the risk of psychological complications after the procedure.. Conclusions: The best It seems that a dynamic mix of factors is the best technique for avoiding consciousness during anaesthesia. There are fewer preventative measures available during the emergence phase as compared to the induction and maintenance phases (e.g., use of short-acting BDZs in premedication to prevent AAWR at the induction). However, even at the emerging stage, there are very few practical ideas that may be especially successful at preventing this issue. The best method will include both the detection of high-risk patients and the implementation of suitable anaesthetic management measures. The use of instruments for monitoring and the cautious delivery of medications are examples of preventative measures. Neuromuscular monitoring by quantitative approaches is crucial since most instances of emerging consciousness can be related to a failure of neuromuscular recovery with a patient in complete recovery of consciousness.\",\"PeriodicalId\":8745,\"journal\":{\"name\":\"Benha Journal of Applied Sciences\",\"volume\":\"19 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-10-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Benha Journal of Applied Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.21608/bjas.2023.236994.1250\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Benha Journal of Applied Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21608/bjas.2023.236994.1250","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

背景:全身麻醉下的意识障碍(AAGA)仍是一种不常见但令人担忧的现象,可能会造成术后心理痛苦。本研究对 AAGA 的发生率、风险因素和预防措施进行了深入调查。目的:本综述将描述全身麻醉时出现意识障碍的可能性,以及如何在手术过程中为意识障碍做好准备,以降低术后出现心理并发症的风险。结论:各种因素的动态组合似乎是避免麻醉期间出现意识障碍的最佳技术。与诱导和维持阶段相比,出现阶段可用的预防措施较少(例如,在诱导前用药中使用短效 BDZs 以预防出现意识障碍)。然而,即使在萌芽阶段,也很少有特别成功地预防这一问题的实用想法。最佳方法将包括发现高危患者和实施适当的麻醉管理措施。使用仪器进行监测和谨慎给药就是预防措施的例子。使用定量方法进行神经肌肉监测至关重要,因为大多数出现意识障碍的情况都可能与患者意识完全恢复后神经肌肉恢复失败有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Updates in Awareness under General Anesthesia
Background: Awareness under general anaesthesia (AAGA) is still an uncommon yet worrying occurrence that might cause post-operative psychological anguish. The prevalence, risk factors, and preventative measures for AAGA are all investigated in depth in this research. Objective: This This review will describe the likelihood of consciousness while under general anaesthesia, and how to prepare for consciousness during surgery to reduce the risk of psychological complications after the procedure.. Conclusions: The best It seems that a dynamic mix of factors is the best technique for avoiding consciousness during anaesthesia. There are fewer preventative measures available during the emergence phase as compared to the induction and maintenance phases (e.g., use of short-acting BDZs in premedication to prevent AAWR at the induction). However, even at the emerging stage, there are very few practical ideas that may be especially successful at preventing this issue. The best method will include both the detection of high-risk patients and the implementation of suitable anaesthetic management measures. The use of instruments for monitoring and the cautious delivery of medications are examples of preventative measures. Neuromuscular monitoring by quantitative approaches is crucial since most instances of emerging consciousness can be related to a failure of neuromuscular recovery with a patient in complete recovery of consciousness.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Study of Cardiac Injury In Post COVID Children Etiopathogenesis of Acne Vulgaris Effect of Paternalistic Leadership Educational Program For Head Nurses on Staff Nurses’ psychological Empowerment Quality of Life among Patients with Helicobacter Pylori Infection Enhancing Nursing Personnel- physicians' Communication and Collaboration: Its Effect on Nursing Productivity
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1