AIRR - ANZCA Institutional Research Repository
Skip navigation
Please use this identifier to cite or link to this item: http://hdl.handle.net/11055/609
Title: A prospective study of awareness and recall associated with general anaesthesia for caesarean section.
Authors: Paech, MJ
Scott, KL
Clavisi, O
Chua, S
McDonnell, NJ
ANZCA Clinical Trials Network
ANZCA/FPM Author: ANZCA Clinical Trials Network
McDonnell, NJ
Paech, MJ
Issue Date: Oct-2008
Citation: 17(4):298-303.
Abstract: BACKGROUND: The obstetric population is considered at high risk of awareness and recall when undergoing general anaesthesia for caesarean section. In recent years the incidence may have been altered by developments in obstetric anaesthesia. METHODS: A prospective observational study of general anaesthesia for caesarean section was conducted during 2005 and 2006 in 13 maternity hospitals dealing with approximately 49,500 deliveries per annum in Australia and New Zealand. As a component of this study the frequency of recall of intraoperative events was examined using a structured postoperative interview on two occasions. RESULTS: There were 1095 general anaesthetics surveyed with 47% being performed for urgent fetal delivery. Thiopental was the most common induction agent (83%) with sevoflurane being used for maintenance in 63%. In 32% of cases a depth-of-anaesthesia monitor was used. In 763 cases (70%) there was least one postoperative interview enquiring into dreaming and awareness. There were two cases deemed to be consistent with awareness (incidence 0.26%, CI 0.03-0.9%, or 1 in 382) and three cases of possible awareness. CONCLUSION: Awareness with recall of intraoperative events remains a significant complication of obstetric general anaesthesia but was potentially avoidable in all cases detected in this study.
URI: http://hdl.handle.net/11055/609
DOI: 10.1016/j.ijoa.2008.01.016.
PubMed URL: https://www.ncbi.nlm.nih.gov/pubmed/18617387
Journal Title: International Journal of Obstetric Anesthesia
Type: Journal Article
Study/Trial: Observational study
Appears in Collections:Scholarly and Clinical

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.