Noël E, Van Der Linden P
C.H.U. Tivoli, Service D'Anesthésie, Avenue Max Buset 34, La Louvière, Belgium.
Service D'Anesthésie, C.H.U. Brugmann et H.U.D.E.R.F., Belgium.
Rev Med Brux. 2016;37(6):476-482.
Awareness, or unwanted recall of intraoperative events during general anesthesia, is not a frequent complication. For adul ts, this complication can lead to adverse psychological consequences like post-traumatic stress disorder (PTSD). The incidence of awareness seems to be higher in children than in adults, although in this population, the causes and consequences of awareness remain difficult to define. Compared to adults, there are less psychological effects and complications after awareness and no PTSD has been declared in children. The revival of interest concerning awareness has been stimulated by the availability of new technologies to assess the depth of anesthesia. These monitoring seem to be more accurate in children older than 1 year. More studies are needed to evaluate these monitoring, their ability to detect awareness and, finally, to explore long term consequences of awareness in children.
术中知晓，即全身麻醉期间对术中事件的意外回忆，并非常见并发症。对于成年人而言，这种并发症可能导致诸如创伤后应激障碍（PTSD）等不良心理后果。尽管在儿童群体中，术中知晓的原因和后果仍难以界定，但术中知晓的发生率似乎高于成年人。与成年人相比，儿童术中知晓后的心理影响和并发症较少，且尚未有儿童被诊断为创伤后应激障碍的报道。评估麻醉深度的新技术的出现激发了人们对术中知晓的再度关注。这些监测对于1岁以上儿童似乎更为准确。需要开展更多研究来评估这些监测方法、其检测术中知晓的能力，以及最终探究儿童术中知晓的长期后果。
