Long-term psychosocial outcomes after intraoperative awareness with recall.

Background: Posttraumatic stress disorder, a common psychiatric disorder in the general population, may follow a traumatic experience of awareness with recall during general anesthesia.

Methods: We conducted a matched cohort design with 9 subjects after intraoperative awareness with recall during general anesthesia. A psychiatric diagnostic interview and questionnaire were performed on 9 matched controls and 9 subjects, a median of 17.

Spectral entropy as a measure of hypnosis in children.

Background: The Datex-Ohmeda S/5 Entropy Module (Datex-Ohmeda Division, Instrumentarium Corp., Helsinki, Finland), using time-frequency balanced Spectral Entropy, is a novel tool for monitoring the hypnotic state during anesthesia. The Entropy Module produces two values, State Entropy (SE) and Response Entropy (RE), and in adults, it has been shown to measure reliably the hypnotic effects of various drugs.

Hemodynamic effects of rescue protocol hydrocortisone in neonates with low cardiac output syndrome after cardiac surgery.

Objective: To assess the hemodynamic effects and safety of hydrocortisone in neonates with low cardiac output syndrome requiring high levels of inotropic support and fluid resuscitation after cardiac surgery.

Design: Retrospective chart review.

Setting: Fifteen-bed pediatric cardiovascular intensive care unit.

Patients' conscious recollections from cardiac anesthesia.

Objective: To estimate the current incidence of conscious recollections from the time of anesthesia, the contribution of anesthetic drugs to this incidence, and the patients' experience of cardiac anesthesia and surgery.

Design: Prospective, horizontal survey of cardiac surgery patients using structured interview method.

Setting: Tertiary care university hospital.

Application of artificial neural networks as an indicator of awareness with recall during general anaesthesia.

Objective: Awareness with recall is a rare but serious complication of general anaesthesia with an incidence ranging from 0.1%-0.7%.

Awareness and recall in outpatient anesthesia.

Unlabelled: We studied the incidence of awareness and explicit recall during general anesthesia in outpatients versus inpatients undergoing surgery. During a 14.5-mo period, we structurally interviewed 1500 outpatients and 2343 inpatients.