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电休克治疗期间全身麻醉下意外知晓的麻醉及精神科影响

Anesthetic and psychiatric implications of accidental awareness under general anesthesia during electroconvulsive therapy.

作者信息

Acharya Hetal, Gaur Atul, Kunigiri Girish

机构信息

Specialist Trainee Psychiatry, Health Education East Midlands Deanery, Bradgate Mental Health Unit, Leicester, LE3 9QP, UK.

Consultant Anaesthetist, University Hospitals of Leicester NHS Trust, Leicester, LE3 9QP, UK.

出版信息

Saudi J Anaesth. 2018 Apr-Jun;12(2):335-338. doi: 10.4103/sja.SJA_675_17.

DOI:10.4103/sja.SJA_675_17
PMID:29628852
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5875230/
Abstract

Accidental awareness under general anesthesia (AAGA) is a well-known phenomenon. However, little literature exists in its relation to the psychiatric field, particularly within the electroconvulsive therapy (ECT) setting. This report explores the case of a 52-year-old woman that describes her own experience of AAGA during ECT. Relevant anesthetic details are also provided along with its possible implications in AAGA. The aim of this case report is to increase awareness among clinicians in regard to AAGA and its occurrence during ECT.

摘要

全身麻醉下的意外知晓(AAGA)是一种广为人知的现象。然而,关于其与精神科领域的关系,尤其是在电休克治疗(ECT)环境中的相关文献却很少。本报告探讨了一名52岁女性的案例,该案例描述了她在ECT期间经历AAGA的自身感受。同时还提供了相关的麻醉细节及其在AAGA中可能产生的影响。本病例报告的目的是提高临床医生对AAGA及其在ECT期间发生情况的认识。

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1
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本文引用的文献

1
Patient perspectives on intraoperative awareness with explicit recall: report from a North American anaesthesia awareness registry.患者对伴有明确回忆的术中知晓的看法:来自北美麻醉知晓登记处的报告
Br J Anaesth. 2015 Jul;115 Suppl 1:i114-i121. doi: 10.1093/bja/aev211.
2
5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent, and medicolegal issues.第五次全国麻醉意外意识监测项目(NAP5):患者体验、人为因素、镇静、知情同意和医学法律问题。
Br J Anaesth. 2014 Oct;113(4):560-74. doi: 10.1093/bja/aeu314. Epub 2014 Sep 9.
3
Update on post-traumatic stress syndrome after anesthesia.麻醉后创伤后应激综合征的最新进展。
Eur Rev Med Pharmacol Sci. 2013 Jul;17(13):1730-7.
4
A national survey of anaesthetists (NAP5 Baseline) to estimate an annual incidence of accidental awareness during general anaesthesia in the UK.一项针对麻醉师的全国性调查(NAP5 基线),以估计英国全身麻醉期间意外意识的年发生率。
Anaesthesia. 2013 Apr;68(4):343-53. doi: 10.1111/anae.12190.
5
Effects of general anesthetic agents in adults receiving electroconvulsive therapy: a systematic review.全身麻醉药对接受电休克治疗的成年人的影响:一项系统评价
J ECT. 2008 Sep;24(3):208-23. doi: 10.1097/YCT.0b013e31815bfe2a.
6
Unilateral nondominant electrode placement as a risk factor for recall of awareness under anesthesia during electroconvulsive therapy.
J ECT. 2007 Sep;23(3):201-3. doi: 10.1097/YCT.0b013e3180cab6a4.
7
Practice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative awareness.术中知晓与脑功能监测实践指南:美国麻醉医师协会术中知晓特别工作组报告
Anesthesiology. 2006 Apr;104(4):847-64. doi: 10.1097/00000542-200604000-00031.
8
Speed of response and remission in major depressive disorder with acute electroconvulsive therapy (ECT): a Consortium for Research in ECT (CORE) report.急性电休克治疗(ECT)对重度抑郁症的反应速度和缓解情况:电休克治疗研究联盟(CORE)报告
J Clin Psychiatry. 2004 Apr;65(4):485-91. doi: 10.4088/jcp.v65n0406.
9
Awareness during general anaesthesia: a review of 81 cases from the Anaesthetic Incident Monitoring Study.全身麻醉期间的知晓:对麻醉事件监测研究中81例病例的回顾
Anaesthesia. 2002 Jun;57(6):549-56. doi: 10.1046/j.1365-2044.2002.02565.x.
10
Determinants of seizure threshold in ECT: benzodiazepine use, anesthetic dosage, and other factors.
J ECT. 2000 Mar;16(1):3-18. doi: 10.1097/00124509-200003000-00002.