Volume 5, Issue 1 ( Journal of Clinical and Basic Research (JCBR) 2021)                   jcbr 2021, 5(1): 7-13 | Back to browse issues page

‎ 10.52547/jcbr.5.1.7

XML Print

Evaluation of the Occurrence of Anesthesia Awareness with Recall in Opium-Addicted and Non-Addicted Patients Undergoing Pelvic and Abdominal Surgery
Seyyedeh Mahrokh Alinaghi Madah1 , Zahra Yousefi * 2, Fozieh Bakhsha3 , Zahra Heidari3 , Solamaz Halakou3 , Seyyed Yaghoob Jafari3 , Sina Mohajernoei1
1- School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
2- School of Paramedicine, Laboratory Sciences Research Center, Golestan University of Medical Sciences, Gorgan, Iran , stu.yousefi@yahoo.com
3- School of Paramedicine, Laboratory Sciences Research Center, Golestan University of Medical Sciences, Gorgan, Iran
Abstract:   (2747 Views)

Background and objectives: Intraoperative awareness is accidental or unintentional awareness during general anesthesia that occurs when complete anesthesia has not been achieved. The aim of this study was to investigate the occurrence of awareness with recall during general anesthesia in opium-addicted and non-addict patients undergoing abdominal and pelvic surgeries.

Methods: The study population consisted of patients undergoing abdominal and pelvic surgeries under general anesthesia in two hospitals in Gorgan, Northeast of Iran. Data were collected 20-36 hours after the surgery using a three-part questionnaire on demographic information, surgery and anesthesia details and anesthesia awareness and recall of events. Data were analyzed in SPSS (version 18) using the Chi-square test.

Results: Of 206 patients, 53.9% were male and 56.3% were undergoing abdominal surgery. None of the patients in the two groups felt hearing, pain, cold or heat during anesthesia, and neither of them dreamed or recalled any event during the anesthesia and surgery period. There was no statistically significant difference between the two groups in terms of anesthesia awareness with recall. According to the patients, the night before the operation, opium addicts were more anxious the night before the surgery and felt more pain right after the surgery.

Conclusion: There is no statistically significant difference in terms of occurrence of anesthesia awareness between opium-addicted and non-addicted patients undergoing pelvic and abdominal surgeries. However, opium addicts experience significantly higher level of anxiety the night before surgery compared to non-addicts. In addition, opium addicts experience more pain immediately after recovery.

Keywords: Anesthesia Awareness, Recall, General anesthesia, Opium addiction
Full-Text [PDF 548 kb]   (1099 Downloads) |   |   Full-Text (HTML)  (1381 Views)  
Article Type: Research | Subject: Basic medical sciences
References
1. Khan MF, Samad K, Shamim F, Ullah H. Awareness during anesthesia--an update. Middle East Journal of Anesthesiology. 2008;19(4):723. [PubMed] [Google Scholar]
2. Cascella M. The Challenge of Accidental Awareness During General Anesthesia. General Anesthesia Research: Springer; 2020. p. 1-33. [View at Publisher] [DOI] [Google Scholar]
3. Thiele EL, Nemergut EC. Miller's Anesthesia. Anesthesia & Analgesia. 2020;130(6):e175-e6. [View at Publisher] [DOI] [PubMed] [Google Scholar]
4. Heggy ER, Abbas SM, Abd El Mawla AG, Adolf M, Fetouh A. Intraoperative Awareness during General Anesthesia: Experience in 200 Patients in "185's Hospital for Emergency Surgeries and Burn".(An Observational Questionnaire-based Study). Open Access Macedonian Journal of Medical Sciences. 2020;8(B):429-34. [View at Publisher] [DOI] [Google Scholar]
5. Cascella M, Bimonte S, Amruthraj NJ. Awareness during emergence from anesthesia: Features and future research directions. World Journal of Clinical Cases. 2020;8(2):245. [View at Publisher] [DOI] [PubMed] [Google Scholar]
6. Wu K-L, Wu Z-F, Lai M-F, Huang Y-H, Tseng W-C, Chen J-Y, et al. A 10-year retrospective analysis on the incidence of anesthesia awareness with recall in adult patients under total intravenous anesthesia. Journal of Medical Sciences. 2020;40(4):181. [View at Publisher] [DOI] [Google Scholar]
7. Sury MR. Accidental awareness during anesthesia in children. Pediatric Anesthesia. 2016;26(5):468-74. [View at Publisher] [DOI] [PubMed] [Google Scholar]
8. Ghoneim MM, Block RI, Haffarnan M, Mathews MJ. Awareness during anesthesia: risk factors, causes and sequelae: a review of reported cases in the literature. Anesthesia & Analgesia. 2009;108(2):527-35. [View at Publisher] [DOI] [PubMed] [Google Scholar]
9. Ambulkar RP, Agarwal V, Ranganathan P, Divatia JV. Awareness during general anesthesia: An Indian viewpoint. Journal of anaesthesiology, clinical pharmacology. 2016;32(4):453. [View at Publisher] [DOI] [PubMed] [Google Scholar]
10. Saltanovitz J. Opiate Addiction and Considerations for Anesthesia. 2019. American Association of Nurse Anesthetists. Practice Considerations | 222 South Prospect Ave | Park Ridge.
11. Malek B, Seghlis R, Dabbagh A. Awareness during anesthesia in elective abdominal surgery in opium abusers. Tehran University Medical Journal. 2010;67(10). [View at Publisher] [Google Scholar]
12. Lerchl-Wanie G, Angster R. Perioperative analgesia for opioid tolerant patients. Der Anaesthesist. 2010;59(7):657. [View at Publisher] [DOI] [PubMed] [Google Scholar]
13. Bergman I, Kluger M, Short T. Awareness during general anaesthesia: a review of 81 cases from the Anaesthetic Incident Monitoring Study. Anaesthesia. 2002;57(6):549-56. [View at Publisher] [DOI] [PubMed] [Google Scholar]
14. Liu W, Thorp T, Graham S, Aitkenhead A. Incidence of awareness with recall during general anaesthesia. Anaesthesia. 1991;46(6):435-7. [View at Publisher] [DOI] [PubMed] [Google Scholar]
15. Shahi S, Foruzesh Fard M, Sadeghi M, Shoeibi G. The incidence of awareness during general anesthesia. Anesthesiology and Pain. 2013;4(3):47-54. [View at Publisher] [Google Scholar]
16. Forman SA, editor. Awareness during general anesthesia: concepts and controversies. Seminars in Anesthesia, perioperative medicine and pain; 2006: Elsevier. [View at Publisher] [DOI] [Google Scholar]
17. Cavaliere F, Cavaliere C. Monitoring the Depth of Anesthesia. Practical Trends in Anesthesia and Intensive Care 2019: Springer; 2020. p. 193-205. [View at Publisher] [DOI] [Google Scholar]
18. Baghaei Wadji M, Rohban M, Shabani M, Bahrampour A. The effect of opium addiction on response to major operation stress. Journal of Kerman University of Medical Sciences. 2005;12(3):159-64. [View at Publisher] [Google Scholar]
19. Hou L, Niu X, Ning X. The incidence and risk factors of intra-operative awareness during general anesthesia. International Journal of Clinical and Experimental Medicine. 2019;12(4):4375-80. [View at Publisher] [Google Scholar]
20. Tasbihgou S, Vogels M, Absalom A. Accidental awareness during general anaesthesia-a narrative review. Anaesthesia. 2018;73(1):112-22. [View at Publisher] [DOI] [PubMed] [Google Scholar]
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.