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Pain Management 2018
Internal Medicine 2018
International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Page 80
March 26-28, 2018
Vienna, Austria
JOINT EVENT
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E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
&
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E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Volume 4
Introduction:
Intraoperative awakening and feeling pain is an
implicit memory that usually causes conscious reminding of
the events during surgery. Long-term deleterious effects such
as mental disorders and post-traumatic stress disorder usually
occurs in the patients with this complication.
Methodology:
A total of 400 patients in the age group 16 to 70
years old, entered the study and are double-blind randomly
divided into two groups of 200 patients each. All patients were
under the same conditions of induction of general anesthesia
and mechanical ventilation. The first group to sustain anesthetic
inhaled Isoflurane gas and the second group was injectedmixture
of the propofol and alfentanil. The studied patients in two stages
(in the recovery room and 4 hours after the end of the operation)
were under the investigation. The standard questions designed
by Brice, 1970 used to assess the presence of awareness during
anesthesia.
Results:
The incidence of intraoperative awareness and pain in
the propofol-alfentanil group (7.5%) was higher than Isoflurane
group (0.5%). Duration of anesthesia in the both groups had a
significant effect on recall of events and pain during anesthesia.
The time of interview to identifying awareness and consciousness
during anesthesia had an impact importance role while, patients
respond differently to questions in the recovery room and 4 hours
after surgery.
Conclusion:
The early interview in the recovery room may occur
unbiased results of awareness during anesthesia due to the
influence of anesthetic drugs and pain pressure caused by
surgery also general problems. It may show its incidence less
or more than the actual rate. The results of this study suggested
that sustain of general anesthesia by Isofloran gas had resulted
less awareness and feeling pain during anesthesia. Carefully
controlling of anesthetics by monitoring the anesthesia process,
considering the age of patients and duration of anesthesia
also selection of appropriate drugs for maintenance of general
anesthesia in surgery, could reduce complications of awareness
and feeling pain during anesthesia.
bah_ard@yahoo.comThe cumulative incidence of awareness and pain during
anesthesia: comparing Isoflorane based general anesthesia
versus propofol-alfentanil mix
Hamidreza Bahmani Bohloli, Forough Rasekhi and Mohamad Froutan
Shiraz University of Medical Sciences, Iran
Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-003