Imantalab Vali, Mohammadzadeh Jouryabi Ali, Sedighinejad Abbas, Gholipour Mahboobeh, Kanafi Vahed Leila, Zargar-Nattaj Seyed Sadegh, Biazar Gelareh, Shadkam Neda
Department of Anesthesiology, Anesthesiology Research Center, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran.
Department of Cardiology, Cardiovascular Diseases Research Center, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Anesth Pain Med. 2022 Dec 17;12(6):e131795. doi: 10.5812/aapm-131795. eCollection 2022 Dec.
Coronary artery bypass grafting (CABG) has distinctive characteristics that may increase the risk of awareness during general anesthesia (AGA).
This study was conducted to assess the incidence of AGA in cardiac surgery in an academic hospital in Guilan, Iran.
This descriptive cross-sectional study was performed in Dr. Heshmat Hospital in Rasht, Iran. Eligible patients candidates for CABG were enrolled in the survey in 2022. After surgery, when the patient was cooperative enough, a questionnaire including demographic data and specialized questions related to different stages of anesthesia was completed via face-to-face interviews. The data were analyzed using IBM SPSS Statistics 21 with chi-square, Fisher's exact, and -test.
The data from 322 patients were analyzed, of whom 14 (4.3%) experienced AGA. Among them, the "feeling of fear and anxiety" reported by 9 (39.1%) cases was the most common awareness state. "Dreaming during surgery and anesthesia" and "feeling unable to move during anesthesia,", each reported by 6 (26.1%) cases, were the other common types of awareness state. None of the demographic data had a significant association with the occurrence of AGA.
The incidence of AGA during CABG was almost acceptable according to the credible evidence.
冠状动脉旁路移植术（CABG）具有独特的特点，可能会增加全身麻醉期间知晓（AGA）的风险。
本研究旨在评估伊朗吉兰省一家学术医院心脏手术中AGA的发生率。
这项描述性横断面研究在伊朗拉什特的赫什马特医院进行。符合条件的CABG候选患者于2022年纳入调查。术后，当患者足够配合时，通过面对面访谈完成一份包括人口统计学数据和与麻醉不同阶段相关的专业问题的问卷。使用IBM SPSS Statistics 21软件进行卡方检验、Fisher精确检验和t检验分析数据。
分析了322例患者的数据，其中14例（4.3%）发生了AGA。其中，9例（39.1%）报告的“恐惧和焦虑感”是最常见的知晓状态。“手术和麻醉期间做梦”以及“麻醉期间感觉无法移动”各有6例（26.1%）报告，是其他常见的知晓状态类型。没有任何人口统计学数据与AGA的发生有显著关联。
根据可靠证据，CABG期间AGA的发生率几乎是可以接受的。
