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Insufficient Anesthesia

MedGen UID:
182521
•Concept ID:
C0919727
•
Finding
Synonyms: Anesthesia Awareness; Anesthesia, Awareness During; Awareness During Anesthesia; Awareness, Anesthesia; Awareness, Intraoperative; During Anesthesia, Awareness; Intraoperative Awareness

Definition

A state of consciousness that permits the formation of explicit and implicit memories while under general anesthesia. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVInsufficient Anesthesia

Professional guidelines

PubMed

Anesthetic management of children with moyamoya disease.
Kansha M, Irita K, Takahashi S, Matsushima T
Clin Neurol Neurosurg 1997 Oct;99 Suppl 2:S110-3. doi: 10.1016/s0303-8467(97)00068-1. PMID: 9409418

Recent clinical studies

Etiology

Dreaming during gastrointestinal endoscopy under propofol, ciprofol, or remimazolam anesthesia: study protocol for a parallel-design double-blind, single-center trial.
Xia LQ, Zhou R, Deng R, Zhou D, Han J, Zhao ZF, Gao SJ, Zhang XJ, Zhou YK, Xiong LZ
Trials 2024 Jan 2;25(1):2. doi: 10.1186/s13063-023-07873-1. PMID: 38167210Free PMC Article
Effects of prophylactic continuous infusion of phenylephrine on reducing the mass of local anesthetic in patients undergoing spinal anesthesia for cesarean section.
de Souza VP, do Amaral JL, Tardelli MÂ, Yamashita AM
Rev Bras Anestesiol 2011 Jul-Aug;61(4):409-24. doi: 10.1016/S0034-7094(11)70049-6. PMID: 21724004
Magnesium sulfate reduces postoperative morphine requirement after remifentanil-based anesthesia.
Kaya S, Kararmaz A, Gedik R, Turhanoğlu S
Med Sci Monit 2009 Feb;15(2):PI5-9. PMID: 19179979
Low degree of anesthesia increases the risk of neurogenic pulmonary edema development.
Sedý J, Likavcanová K, Urdziková L, Zicha J, Kunes J, Hejcl A, Jendelová P, Syková E
Med Hypotheses 2008;70(2):308-13. Epub 2007 Aug 10 doi: 10.1016/j.mehy.2007.05.031. PMID: 17693037
Intrathecal fentanyl with small-dose dilute bupivacaine: better anesthesia without prolonging recovery.
Ben-David B, Solomon E, Levin H, Admoni H, Goldik Z
Anesth Analg 1997 Sep;85(3):560-5. doi: 10.1097/00000539-199709000-00014. PMID: 9296409

Diagnosis

Dreaming during gastrointestinal endoscopy under propofol, ciprofol, or remimazolam anesthesia: study protocol for a parallel-design double-blind, single-center trial.
Xia LQ, Zhou R, Deng R, Zhou D, Han J, Zhao ZF, Gao SJ, Zhang XJ, Zhou YK, Xiong LZ
Trials 2024 Jan 2;25(1):2. doi: 10.1186/s13063-023-07873-1. PMID: 38167210Free PMC Article
A novel electronic algorithm for detecting potentially insufficient anesthesia: implications for the prevention of intraoperative awareness.
Mashour GA, Esaki RK, Vandervest JC, Shanks A, Kheterpal S
J Clin Monit Comput 2009 Oct;23(5):273-7. Epub 2009 Aug 8 doi: 10.1007/s10877-009-9193-9. PMID: 19669412
Intraoperative evaluation of laparoscopic insufflation technique for quality control in the OR.
Jacobs VR, Morrison JE Jr, Mundhenke C, Golombeck K, Jonat W
JSLS 2000 Jul-Sep;4(3):189-95. PMID: 10987394Free PMC Article

Therapy

Dreaming during gastrointestinal endoscopy under propofol, ciprofol, or remimazolam anesthesia: study protocol for a parallel-design double-blind, single-center trial.
Xia LQ, Zhou R, Deng R, Zhou D, Han J, Zhao ZF, Gao SJ, Zhang XJ, Zhou YK, Xiong LZ
Trials 2024 Jan 2;25(1):2. doi: 10.1186/s13063-023-07873-1. PMID: 38167210Free PMC Article
Actimetry-Documented Persistent Periodic Limb Movements During EEG-Confirmed Deep General Anesthesia: A Case Report.
Lersch F, Jerney P, Kaiser H, Willi C, Steck K, Hight D, Zubler F
A A Pract 2020 Apr;14(6):e01183. doi: 10.1213/XAA.0000000000001183. PMID: 32224690
Determination of Death in Execution by Lethal Injection in China.
Paul NW, Caplan A, Shapiro ME, Els C, Allison KC, Li H
Camb Q Healthc Ethics 2018 Jul;27(3):459-466. doi: 10.1017/S0963180117000846. PMID: 29845916
Magnesium sulfate reduces postoperative morphine requirement after remifentanil-based anesthesia.
Kaya S, Kararmaz A, Gedik R, Turhanoğlu S
Med Sci Monit 2009 Feb;15(2):PI5-9. PMID: 19179979
Low degree of anesthesia increases the risk of neurogenic pulmonary edema development.
Sedý J, Likavcanová K, Urdziková L, Zicha J, Kunes J, Hejcl A, Jendelová P, Syková E
Med Hypotheses 2008;70(2):308-13. Epub 2007 Aug 10 doi: 10.1016/j.mehy.2007.05.031. PMID: 17693037

Prognosis

Efficacy of the A-line AEP monitor as a tool for predicting successful insertion of a laryngeal mask during sevoflurane anesthesia.
Alpiger S, Helbo-Hansen HS, Vach W, Ording H
Acta Anaesthesiol Scand 2004 Aug;48(7):888-93. doi: 10.1111/j.0001-5172.2004.00425.x. PMID: 15242435
High thoracic epidural anesthesia for coronary artery bypass grafting using two different surgical approaches in conscious patients.
Kessler P, Neidhart G, Bremerich DH, Aybek T, Dogan S, Lischke V, Byhahn C
Anesth Analg 2002 Oct;95(4):791-7, table of contents. doi: 10.1097/00000539-200210000-00002. PMID: 12351247

Clinical prediction guides

Dreaming during gastrointestinal endoscopy under propofol, ciprofol, or remimazolam anesthesia: study protocol for a parallel-design double-blind, single-center trial.
Xia LQ, Zhou R, Deng R, Zhou D, Han J, Zhao ZF, Gao SJ, Zhang XJ, Zhou YK, Xiong LZ
Trials 2024 Jan 2;25(1):2. doi: 10.1186/s13063-023-07873-1. PMID: 38167210Free PMC Article
Magnesium sulfate reduces postoperative morphine requirement after remifentanil-based anesthesia.
Kaya S, Kararmaz A, Gedik R, Turhanoğlu S
Med Sci Monit 2009 Feb;15(2):PI5-9. PMID: 19179979
Efficacy of the A-line AEP monitor as a tool for predicting successful insertion of a laryngeal mask during sevoflurane anesthesia.
Alpiger S, Helbo-Hansen HS, Vach W, Ording H
Acta Anaesthesiol Scand 2004 Aug;48(7):888-93. doi: 10.1111/j.0001-5172.2004.00425.x. PMID: 15242435

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    Practice guidelines

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