March 11, 2013AnaesthesiaOpen Access

The incidence of intra‐operative awareness in the UK : under the rate or under the radar?

Q: What is the clinical evidence from this study?

Study design: Editorial. Population: Accidental awareness during intended general anaesthesia with postoperative explicit recall (AWR) (n=7125). Intervention: General anaesthesia. Primary outcome: Incidence of AWR.

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Key result

A national survey of UK anaesthetists estimated the incidence of accidental awareness during general anaesthesia at 1 in 15,000, though this likely underestimates the true rate due to reliance on spontaneous reports.

Population

Surgical patients undergoing intended general anaesthesia in the UK

Design

Editorial

Authors

MAMichael S. AvidanSemmelweis University GMGeorge A. MashourSprint (United States)

Discussion

Member takes

Implication

The reported incidence of accidental awareness during general anaesthesia in the UK (1 in 15,000) may be a substantial underestimate due to reliance on spontaneous patient reports rather than direct, structured questioning.

Structured PICO

Population

Editorial discussing a national survey of 7,125 senior anaesthetists regarding the incidence and prevention of accidental awareness during general anaesthesia in the UK and Ireland.

Outcome

Accidental awareness during intended general anaesthesia with postoperative explicit recall (AWR)safety

Limitations

AWR was detected through intermediates (i.e. senior anaesthetists) based on patient self-reports rather than through direct patient interviews.
Patients were not asked specifically if they remembered anything during the period of intended general anaesthetic.
Patients might not remember or might not choose to report that they were aware immediately after their surgery.
AWR was detected through intermediates (senior anaesthetists) based on patient self-reports rather than direct patient interviews
Patients were not asked specifically if they remembered anything during the period of intended general anaesthetic

Cite This Study

Avidan et al. (2013) conducted an editorial in Accidental awareness during intended general anaesthesia with postoperative explicit recall (AWR) (n=7,125). General anaesthesia was evaluated on Incidence of AWR. A national survey of UK anaesthetists estimated the incidence of accidental awareness during general anaesthesia at 1 in 15,000, though this likely underestimates the true rate due to reliance on spontaneous reports.

synapsesocial.com/papers/6a901f4dc7b7d4543f89d723 https://doi.org/10.1111/anae.12215

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The incidence of intra‐operative awareness in the UK : under the rate or under the radar?

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

The incidence of intra‐operative awareness in the UK : under the rate or under the radar?

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider