Long-term psychosocial outcomes after intraoperative awareness with recall.

Anesth Analg

From the Field Medicine Services Unit, Centre for Military Medicine, Helsinki; Datawell Ltd., Espoo; Department of Anesthesiology and Intensive Care Medicine, University of Helsinki; Department of Intensive Care Medicine, Helsinki University Central Hospital, Meilahti Hospital; Department of Health Care Supervision, National Supervisory Authority for Welfare and Health, and Centre for Military Medicine, Helsinki; City of Helsinki, Health Center, Psychiatry; and Department of Anesthesiology, Helsinki University Central Hospital, Jorvi Hospital, Espoo, Finland.

Published: July 2014

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 17.2 years from their documented awareness episode. The subjects and the matched controls completed a battery of questionnaires related to psychosocial well-being, after which they participated in a diagnostic Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Axis I Disorders.

Results: Patients with awareness did not seem to differ from their matched controls in subsequent psychosocial outcome, psychiatric morbidity, or quality of life.

Conclusions: We found no indication that intraoperative awareness with recall had any deleterious long-term effects on patients' psychosocial outcome.

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http://dx.doi.org/10.1213/ANE.0000000000000257DOI Listing

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