Anesthesia & Analgesia

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Anesthesia & Analgesia:
doi: 10.1213/ANE.0000000000000257
Patient Safety: Research Report

Long-Term Psychosocial Outcomes after Intraoperative Awareness with Recall

Laukkala, Tanja MD, PhD*; Ranta, Seppo MD, PhD†‡; Wennervirta, Johanna MD, PhD§; Henriksson, Markus MD, PhD; Suominen, Kirsi MD, PhD; Hynynen, Markku MD, PhD#

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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.

© 2014 International Anesthesia Research Society


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