Department of Anaesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.
Seoul National University College of Medicine, Seoul, Korea.
Anaesthesia. 2017 Feb;72(2):197-203. doi: 10.1111/anae.13688. Epub 2016 Oct 27.
People can hear and pay attention to familiar terms such as their own name better than general terms, referred to as the cocktail party effect. We performed a prospective, randomised, double-blind trial to investigate whether calling the patient's name compared with a general term facilitated a patient's response and recovery from general anaesthesia. We enrolled women having breast cancer surgery with general anaesthesia using propofol and remifentanil. Patients were randomly allocated into two groups depending on whether the patient's name or a general term was called, followed by the verbal command - 'open your eyes!' - during emergence from anaesthesia; this pre-recorded sentence was played to the patient using headphones. Fifty patients were allocated to the name group and 51 to the control group. Our primary outcome was the time from discontinuation of anaesthesia until eye opening. The mean (SD) time was 337 (154) s in the name group and 404 (170) s in the control group (p = 0.041). The time to i-gel removal was 385 (152) vs. 454 (173) s (p = 0.036), the time until achieving a bispectral index of 60 was 174 (133) vs. 205 (160) s (p = 0.3), and the length of stay in the postanaesthesia care unit was 43.8 (3.4) vs. 47.3 (7.1) min (p = 0.005), respectively. In conclusion, using the patient's name may be an easy and effective method to facilitate recovery from general anaesthesia.
人们可以更好地听到并注意到熟悉的术语,如自己的名字,而不是一般术语,这被称为鸡尾酒会效应。我们进行了一项前瞻性、随机、双盲试验,以调查与一般术语相比,称呼患者的名字是否有助于患者从全身麻醉中恢复。我们招募了接受丙泊酚和瑞芬太尼全身麻醉的乳腺癌手术的女性患者。根据患者在麻醉苏醒期间是否被称呼名字或一般术语,以及是否听到“睁开眼睛!”这一预先录制的命令,将患者随机分配到两组;耳机将播放该句子。50 名患者被分配到名字组,51 名患者被分配到对照组。我们的主要结局是从停止麻醉到睁眼的时间。名字组的平均(SD)时间为 337(154)s,对照组为 404(170)s(p=0.041)。名字组的 i-gel 移除时间为 385(152)s,对照组为 454(173)s(p=0.036),达到双频谱指数 60 的时间为 174(133)s,对照组为 205(160)s(p=0.3),麻醉后恢复室停留时间分别为 43.8(3.4)min 和 47.3(7.1)min(p=0.005)。总之,使用患者的名字可能是一种促进全身麻醉恢复的简单有效方法。