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Anaesthesia


Title:Dreaming during anaesthesia in patients at high risk of awareness
Author(s):Leslie, K. Myles, P. S. Forbes, A. Chan, M. T. Swallow, S. K. Short, T. G.
Address:Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Melbourne, Australia. kate.leslie@mh.org.au
Year:2005 Mar
Journal Title:Anaesthesia
Page Number:239-44
Language:eng
Volume:60
Issue:3
ISSN/ISBN:0003-2409 (Print). 0003-2409 (Linking)
Abstract:Dreaming during anaesthesia is commonly reported but remains poorly understood. In this study, adult surgical patients at high risk of awareness were randomly assigned to receive bispectral index (BIS)-guided anaesthesia or routine care, and were interviewed about dreaming three times postoperatively. Dreaming patients (n = 134) were compared with all other patients who were interviewed at least once (n = 2251). Intraoperative dreaming was reported by 4.2%, 3.9% and 3.4% of patients at 2-4 h, 24-36 h and 30 days after surgery, respectively. Fewer BIS-monitored patients reported intra-operative dreaming at 2-4 h than control patients (2.7% vs. 5.7%; p = 0.004). Reports of dreaming were similar in the two groups at 24-36 h and 30 days. Dreaming patients were younger (p = 0.001); healthier (p < 0.001) and more likely to be women (p < 0.001), and were less satisfied with anaesthetic care (p = 0.004) than other patients.

 
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