Tanja Laukkala1, Seppo Ranta, Johanna Wennervirta, Markus Henriksson, Kirsi Suominen, Markku Hynynen. 1. 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.
Abstract
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.
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.
Authors: Elizabeth L Whitlock; Thomas L Rodebaugh; Afton L Hassett; Amy M Shanks; Ellen Kolarik; Janet Houghtby; Hannah M West; Beth A Burnside; Erik Shumaker; Alex Villafranca; W Alex Edwards; Cheri A Levinson; Julia K Langer; Katya C Fernandez; Renee El-Gabalawy; Elizabeth Y Zhou; Jitender Sareen; Eric Jacobsohn; George A Mashour; Michael S Avidan Journal: Anesth Analg Date: 2015-01 Impact factor: 6.627