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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive >  Ambulatory Anesthesia 2009

How to Reduce the Risk of Anesthesia Awareness

Is using a level-of-consciousness monitor a surefire way to avoid this scary event?

Marc Bloom, MD, PhD

The public is keenly aware of anesthesia awareness. It's a horrifying concept that makes for sensational headlines, nightly news features and even movie plots. But true intraoperative awareness is actually quite rare, occurring in 1 out of every 1,000 surgical procedures performed under general anesthesia. Despite its rarity, and based on the number of surgeries performed in the United States each day, intraoperative awareness is still an issue that anesthesia providers are concerned with during every case, no matter how long or short. Level-of-consciousness monitors reduce the likelihood that your patients will experience intraoperative awareness, but they're not a standard of care or a fail-safe guarantee. So should they be used during most procedures? In my opinion: yes.

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