Anästhesie (Fach) / Krankheitsbilder (Lektion)
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Awareness
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The main risk factors are:
1. Use of neuromuscular blocking agents.
2.Light planes of anaesthesia:
- Caesarean section (1 in 250)
- Cardiac anaesthesia (1 in 100)
- Major trauma (1 in 20)
- Impaired CVS function
- Bronchoscopy
- Difficult intubation
3. Anaesthetic errors.
4. Equipment failure.
5. Patient factors:
- Parmacogenetic factors
- Enzyme inducing agents.
The incidence of awareness for procedures such as elective inguinal hernia repair is no higher than 0.1-0.2%.
Whilst DC cardioversion is a very short procedure that can be carried out under "deep" sedation, general anaesthesia is the preferred option with an incidence of awareness of 0.3%.
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