[HSF] Recall?

[Ani Anyanwu]

Awareness during anesthesia definitely does occur though is thankfully very rare. It is no fault of the anesthesia given. When I was in UK patient once woke up asking what does "flow up", "flow down" mean. However on balance of probability your patient was not truly awake during the procedure. You should ask her now to describe what specifically she was aware of (you may find some things may have been in the pre-surgery phase or post surgery phase and not truly under anesthesia) and specifically what she has heard. This is important as with coaching she could later come up with a very believable story.
 
Ani



> Date: Sun, 14 Oct 2007 11:14:37 -0400> From: msfirst at gmail.com> To: OpenHeart-L at lists.hsforum.com> CC: > Subject: [HSF] Recall?> > I performed an uneventful CABGx3, on pump on a 55 year/old with the usual> cluster of comorbidities - nothing out of the ordinary. She got extubated> several hours post-op per protocol and started complaining about how she was> awake thru the entire case but could not move. Her overall story is a> little vague/fuzzy and there is a huge concern that she is crazy (not to> mention lots of potential for secondary gain!). In reviewing the anesthesia> record, there was nothing too much out of the ordinary - we use BIS> monitoring for many of our cases, which I know is not perfect, but> everything suggests a routine case (if there is such a thing these days).> Obviously getting Psychiatry and Neuro involved and taking this very> seriously for many reasons. Has anyone seen anything like this before?> > > -michael> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
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