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Prevention of intraoperative awareness.

06:00 EST 25th November 2011 | BioPortfolio

Summary of "Prevention of intraoperative awareness."

To the Editor: Avidan and colleagues (Aug. 18 issue)(1) reported that monitoring with the use of the bispectral index (BIS), as compared with the use of the end-tidal anesthetic-agent concentration (ETAC), does not reduce awareness during anesthesia (the BIS or Anesthetic Gas to Reduce Explicit Recall [BAG-RECALL] trial; ClinicalTrials.gov number, NCT00682825). However, they did not discuss the B-Aware trial, a large trial involving almost 2500 patients, in which BIS monitoring reduced the risk of awareness in at-risk adults undergoing general anesthesia.(2) In the study by Avidan et al., general anesthesia was based on inhaled agents, whereas in the B-Aware trial, . . .

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This article was published in the following journal.

Name: The New England journal of medicine
ISSN: 1533-4406
Pages: 2032-5

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Medical and Biotech [MESH] Definitions

Occurence of a patient becoming conscious during a procedure performed under GENERAL ANESTHESIA and subsequently having recall of these events. (From Anesthesiology 2006, 104(4): 847-64.)

A psychological state of awareness, the practices that promote this awareness, a mode of processing information and a character trait. As a therapy mindfulness is defined as a moment-to-moment awareness of one's experience without judgment and as a state and not a trait.

Specific practices for the prevention of disease or mental disorders in susceptible individuals or populations. These include HEALTH PROMOTION, including mental health; protective procedures, such as COMMUNICABLE DISEASE CONTROL; and monitoring and regulation of ENVIRONMENTAL POLLUTANTS. Primary prevention is to be distinguished from SECONDARY PREVENTION and TERTIARY PREVENTION.

The prevention of recurrences or exacerbations of a disease that already has been diagnosed. This also includes prevention of complications or after-effects of a drug or surgical procedure.

An individual's objective and insightful awareness of the feelings and behavior of another person. It should be distinguished from sympathy, which is usually nonobjective and noncritical. It includes caring, which is the demonstration of an awareness of and a concern for the good of others. (From Bioethics Thesaurus, 1992)

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