Awareness, muscle relaxants and balanced anaesthesia.

Relationships between Bispectral Index, Implicit Memory, Dream Recall and Minimum Alveolar Concentration in Blended Anaesthesia

The decreased responsiveness to stimulation defines the depth of anaesthesia which is a balance between effects of anaesthetic drugs and surgical stimulations. Awareness is a rare occurrence with an incidence of 0,1-0,2 %1, defined as postoperative recall of events occurring during general anaesthesia. This memory can be traumatic and may result in developing a chronic posttraumatic stress diso...

Reduction in the incidence of awareness using BIS monitoring.

BACKGROUND Explicit recall (ER) is evident in approximately 0.2% of patients given general anaesthesia including muscle relaxants. This prospective study was performed to evaluate if cerebral monitoring using BIS to guide the conduction of anaesthesia could reduce this incidence significantly. PATIENTS AND METHODS A prospective cohort of 4945 consecutive surgical patients requiring muscle rel...

Awareness during Surgery

Ever since Horace Wells failed to produce adequate anaesthesia with nitrous oxide on a celebrated occasion in I844 patients have from time to time complained of being incompletely anaesthetized. In the past these unfortunate incidents were always accepted as failures, due to inexperience of the administrator, inadequacy of the apparatus or idiosyncrasy of the patient. But even today, when there...

The Use of Muscle Relaxants in Infants and Children.

The belief that the use of muscle relaxants in infants and children is both unnecessary and dangerous has not been substantiated by subsequent clinical experience. The important advances that have been made recently in paediatric anaesthesia are due largely to the introduction of muscle relaxants, which have reduced the need for toxic agents to a minimum and have emphasized the importance of co...

The estimation and comparison of histamine release by muscle relaxants in man.