Cascella Marco, Schiavone Vincenzo, Muzio Maria Rosaria, Cuomo Arturo
a Division of Anesthesia, Department of Anesthesia, Endoscopy and Cardiology , Istituto Nazionale Tumori "Fondazione G. Pascale" - IRCCS , Naples , Italy ;
b Division of Anesthesia and Intensive Care , Hospital "Pineta Grande" , Castel Volturno , Italy ;
Curr Med Res Opin. 2016 Aug;32(8):1351-9. doi: 10.1080/03007995.2016.1174679. Epub 2016 Apr 15.
With anesthesia awareness as a model of study we debate the both fascinating and dangerous phenomenon called consciousness fluctuation that takes place during surgical anesthesia. In accordance with current scientific knowledge this paradox is the consequence of our limits in both precise knowledge of anesthesia mechanisms and our inability to accurately assess the level of anesthesia with brain monitoring. We also focus on the relationships between memory and anesthesia, as well as the possibility of interfering with memory during general anesthesia.
以麻醉觉醒作为研究模型,我们探讨了手术麻醉期间发生的一种既迷人又危险的现象——意识波动。根据当前的科学知识,这种矛盾现象是由于我们在麻醉机制的精确认识以及利用脑监测准确评估麻醉深度方面存在局限性所致。我们还关注记忆与麻醉之间的关系,以及全身麻醉期间干扰记忆的可能性。