A 7-year retrospective multisource analysis on the incidence of anesthesia awareness with recall in cancer patients

A chance of collaboration between anesthesiologists and psycho-oncologists for awareness detection

Marco Cascella, Daniela Viscardi, Vincenzo Schiavone, Farrokh Mehrabmi-Kermani, Maria Rosaria Muzio, Cira Antonietta Forte, Francesco De Falco, Daniela Barberio, Arturo Cuomo

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Although randomized controlled studies reported an incidence of anesthesia awareness with recall 1 to 2 per 1000 (0.1-0.2%), recent data from the NAP5 study showed an incidence of only 1:19,600. Although in a prospective study many tools for anesthesia awareness detection can be used, a retrospective analysis requires a careful collection of information. The aim of the study was to evaluate the incidence of anesthesia awareness with recall in a cohort of cancer patients through a multisource retrospective analysis, and the clinical description, including the psychological outcome, of the cases detected. We also tested whether our retrospective analysis would be improved by a routinely psycho-oncological assessment. As secondary endpoints we evaluated the use of depth of anesthesia monitoring over a large cohort of patients, and the correlation between the brain monitoring and the incidence of awareness. We have carried out a 7-year retrospective analysis in a large cohort of cancer patients on the incidence of awareness with recall during general anesthesia. Of 35,595 patients assessed for eligibility, 21,099 were studied. We analyzed all data from the operative rooms' database, the anesthesia records, and from the database of the surgical divisions. In addition we examined reports from psychologists and spontaneous reports to the quality team of the hospital. Two certain cases of awareness were detected, with an incidence of 1:10,550 (0.0095%). They occurred during elective surgery, in female patients without other risk factors. One case came from the report of a psychologist. In both episodes, brain monitoring was not applied and no long-term psychological sequelae were reported.

Original languageEnglish
Article numbere2757
JournalMedicine (United States)
Volume95
Issue number5
DOIs
Publication statusPublished - 2016

Fingerprint

Intraoperative Awareness
Incidence
Psychology
Neoplasms
Cohort Studies
Anesthesia
Databases
Brain
General Anesthesia
Anesthesiologists
Oncologists
Prospective Studies

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{5de522c2470040c1957cc1287bdf2936,
title = "A 7-year retrospective multisource analysis on the incidence of anesthesia awareness with recall in cancer patients: A chance of collaboration between anesthesiologists and psycho-oncologists for awareness detection",
abstract = "Although randomized controlled studies reported an incidence of anesthesia awareness with recall 1 to 2 per 1000 (0.1-0.2{\%}), recent data from the NAP5 study showed an incidence of only 1:19,600. Although in a prospective study many tools for anesthesia awareness detection can be used, a retrospective analysis requires a careful collection of information. The aim of the study was to evaluate the incidence of anesthesia awareness with recall in a cohort of cancer patients through a multisource retrospective analysis, and the clinical description, including the psychological outcome, of the cases detected. We also tested whether our retrospective analysis would be improved by a routinely psycho-oncological assessment. As secondary endpoints we evaluated the use of depth of anesthesia monitoring over a large cohort of patients, and the correlation between the brain monitoring and the incidence of awareness. We have carried out a 7-year retrospective analysis in a large cohort of cancer patients on the incidence of awareness with recall during general anesthesia. Of 35,595 patients assessed for eligibility, 21,099 were studied. We analyzed all data from the operative rooms' database, the anesthesia records, and from the database of the surgical divisions. In addition we examined reports from psychologists and spontaneous reports to the quality team of the hospital. Two certain cases of awareness were detected, with an incidence of 1:10,550 (0.0095{\%}). They occurred during elective surgery, in female patients without other risk factors. One case came from the report of a psychologist. In both episodes, brain monitoring was not applied and no long-term psychological sequelae were reported.",
author = "Marco Cascella and Daniela Viscardi and Vincenzo Schiavone and Farrokh Mehrabmi-Kermani and Muzio, {Maria Rosaria} and Forte, {Cira Antonietta} and Falco, {Francesco De} and Daniela Barberio and Arturo Cuomo",
year = "2016",
doi = "10.1097/MD.0000000000002757",
language = "English",
volume = "95",
journal = "Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries",
issn = "0025-7974",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - A 7-year retrospective multisource analysis on the incidence of anesthesia awareness with recall in cancer patients

T2 - A chance of collaboration between anesthesiologists and psycho-oncologists for awareness detection

AU - Cascella, Marco

AU - Viscardi, Daniela

AU - Schiavone, Vincenzo

AU - Mehrabmi-Kermani, Farrokh

AU - Muzio, Maria Rosaria

AU - Forte, Cira Antonietta

AU - Falco, Francesco De

AU - Barberio, Daniela

AU - Cuomo, Arturo

PY - 2016

Y1 - 2016

N2 - Although randomized controlled studies reported an incidence of anesthesia awareness with recall 1 to 2 per 1000 (0.1-0.2%), recent data from the NAP5 study showed an incidence of only 1:19,600. Although in a prospective study many tools for anesthesia awareness detection can be used, a retrospective analysis requires a careful collection of information. The aim of the study was to evaluate the incidence of anesthesia awareness with recall in a cohort of cancer patients through a multisource retrospective analysis, and the clinical description, including the psychological outcome, of the cases detected. We also tested whether our retrospective analysis would be improved by a routinely psycho-oncological assessment. As secondary endpoints we evaluated the use of depth of anesthesia monitoring over a large cohort of patients, and the correlation between the brain monitoring and the incidence of awareness. We have carried out a 7-year retrospective analysis in a large cohort of cancer patients on the incidence of awareness with recall during general anesthesia. Of 35,595 patients assessed for eligibility, 21,099 were studied. We analyzed all data from the operative rooms' database, the anesthesia records, and from the database of the surgical divisions. In addition we examined reports from psychologists and spontaneous reports to the quality team of the hospital. Two certain cases of awareness were detected, with an incidence of 1:10,550 (0.0095%). They occurred during elective surgery, in female patients without other risk factors. One case came from the report of a psychologist. In both episodes, brain monitoring was not applied and no long-term psychological sequelae were reported.

AB - Although randomized controlled studies reported an incidence of anesthesia awareness with recall 1 to 2 per 1000 (0.1-0.2%), recent data from the NAP5 study showed an incidence of only 1:19,600. Although in a prospective study many tools for anesthesia awareness detection can be used, a retrospective analysis requires a careful collection of information. The aim of the study was to evaluate the incidence of anesthesia awareness with recall in a cohort of cancer patients through a multisource retrospective analysis, and the clinical description, including the psychological outcome, of the cases detected. We also tested whether our retrospective analysis would be improved by a routinely psycho-oncological assessment. As secondary endpoints we evaluated the use of depth of anesthesia monitoring over a large cohort of patients, and the correlation between the brain monitoring and the incidence of awareness. We have carried out a 7-year retrospective analysis in a large cohort of cancer patients on the incidence of awareness with recall during general anesthesia. Of 35,595 patients assessed for eligibility, 21,099 were studied. We analyzed all data from the operative rooms' database, the anesthesia records, and from the database of the surgical divisions. In addition we examined reports from psychologists and spontaneous reports to the quality team of the hospital. Two certain cases of awareness were detected, with an incidence of 1:10,550 (0.0095%). They occurred during elective surgery, in female patients without other risk factors. One case came from the report of a psychologist. In both episodes, brain monitoring was not applied and no long-term psychological sequelae were reported.

UR - http://www.scopus.com/inward/record.url?scp=84958818821&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84958818821&partnerID=8YFLogxK

U2 - 10.1097/MD.0000000000002757

DO - 10.1097/MD.0000000000002757

M3 - Article

VL - 95

JO - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries

JF - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries

SN - 0025-7974

IS - 5

M1 - e2757

ER -