caa a22 4500 445304642 CHVBK 20180317142609.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s10880-011-9233-8 doi (NATIONALLICENCE)springer-10.1007/s10880-011-9233-8 Anesthesia Awareness: Narrative Review of Psychological Sequelae, Treatment, and Incidence [Elektronische Daten] [Robin Bruchas, Christopher Kent, Hilary Wilson, Karen Domino] Awareness during general anesthesia occurs when patients recall events or sensations during their surgeries, although the patients should have been unconscious at the time. Anesthesiologists are cognizant of this phenomenon, but few discussions occur outside the discipline. This narrative review summarizes the patient recollections, psychological sequelae, treatment and follow-up of psychological consequences, as well as incidence and etiology of awareness during general anesthesia. Recalled memories include noises, conversations, images, mental processes, feelings of pain and/or paralysis. Psychological consequences include anxiety, flashbacks, and posttraumatic stress disorder diagnosis. Limited discussion for therapeutic treatment after an anesthesia awareness experience exists. The incidence of anesthesia awareness ranges from 0.1 to 0.2% (e.g., 1-2/1000 patients). Increased recognition of awareness during general anesthesia within the psychological/counseling community, with additional research focusing on optimal therapeutic treatment, will improve the care of these patients. Springer Science+Business Media, LLC, 2011 Posttraumatic stress disorder nationallicence Treatment nationallicence Trauma exposure nationallicence Memory nationallicence Anesthesia nationallicence Bruchas Robin Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA aut Kent Christopher Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA aut Wilson Hilary Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA aut Domino Karen Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA aut Journal of Clinical Psychology in Medical Settings Springer US; http://www.springer-ny.com 18/3(2011-09-01), 257-267 1068-9583 18:3<257 2011 18 10880 https://doi.org/10.1007/s10880-011-9233-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10880-011-9233-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bruchas Robin Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA aut NATIONALLICENCE 700 1- Kent Christopher Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA aut NATIONALLICENCE 700 1- Wilson Hilary Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA aut NATIONALLICENCE 700 1- Domino Karen Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA aut NATIONALLICENCE 773 0- Journal of Clinical Psychology in Medical Settings Springer US; http://www.springer-ny.com 18/3(2011-09-01), 257-267 1068-9583 18:3<257 2011 18 10880 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer