Sakio Hiroyuki, Saitoh Kazuhiko, Inoue Soichiro, Nakaigawa Yasushi, Hirabayashi Yoshihiro, Seo Norimasa
Department of Anesthesiology and Clitical Care Medicine, Jichi Medical School, Tochigi 329-0498.
Masui. 2002 Oct;51(10):1148-50.
This report describes a case of awareness and recall during propofol anesthesia combined with epidural anesthesia in a 32-year-old woman scheduled for a resection of left ovarian tumor. After induction, anesthesia was maintained with propofol and epidural anesthesia. About one hour into maintenance, the patient was moving with haemodynamic signs suggesting inadequate analgesia. Immediately after extubation, the patient could recall the abdomen being touched during laparotomy. This case indicates that even if appropriate dose of propofol is administrated, intraoperative awareness may occur especially with inadequate analgesia.