- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04697732
İntraoperative Awareness Under General Anesthesia
The Incidence of Intraoperative Awareness Under General Anesthesia in Adults: A Prospective, Multicenter Study
Intraoperative awareness which means the recall of experiences recorded in patients' memories during general anesthesia in the postoperative period is an important issue in anesthesia practice. The aims of this study are to investigate the incidence and causes of awareness during general anesthesia, incidence of dreaming during anesthesia, intra-operative experiences of patients who report awareness, the risk factors that may be associated with awareness, to analyze the frequency of posttraumatic stress disorder in cases with awareness and possible awareness, the risk factors that may be associated with PTSD in Turkish adults.
Adult patients will be evaluated 4 time following emergence (a) One hour after emergence, (b) Twenty four hour after emergence (c) One week after emergence (d) One month after emergence. The first interview will be made face-to-face in the recovery unit, and other interviews will be made by phone. Each interview will be conducted using the same structured interview (Brice Interview).
Descriptive statistics will be used to determine the incidence of awareness. χ2 test will be used for comparison between groups. Logistic regression will be used to determine the risk factors associated with awareness and PTSD.
We believe that this study will contribute to the prevention of the problem by determining the real frequency and causes of intraoperative awareness under general anesthesia, determining the experiences and results of patients, and analyzing the associated risk factors.
Study Overview
Status
Conditions
- To Investigate the Incidence and Causes of Awareness During General Anesthesia
- To Investigate the of Dreaming During Anesthesia
- To Investigate the Intra-operative Experiences of Patients Who Report Awareness
- To Investigate the Risk Factors That May be Associated With Awareness
- To Analyze the Frequency of Posttraumatic Stress Disorder in Cases With Awareness and Possible Awareness
- To Investigate the Risk Factors That May be Associated With Posttraumatic Stress Disorder
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Yonca Özvardar Pekcan
- Phone Number: 1085 +90 232 2411000
- Email: yncapek@gmail.com
Study Contact Backup
- Name: Bahattin Tuncali
- Phone Number: 1085 +90 232 2411000
- Email: tuncali.bahattin@gmail.com
Study Locations
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-
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Ankara, Turkey
- Recruiting
- Başkent University
-
Contact:
- Yonca Ozvardar Pekcan
- Phone Number: +90 232 2411000
- Email: yncapek@gmail.com
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- ASA I-IV adult patients who will receive general anesthesia and are scheduled to be extubated postoperatively,
Exclusion Criteria:
- ASA V patients
- Patients below 18 years of age,
- Patient who can not give informed consent,
- Patients who have known psychological or psychiatric problems,
- Patients who are not suitable for postoperative follow-up
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Adult patients age above 18 years
ASA I-IV adult patients over 18 years of age who will receive general anesthesia and are scheduled to be extubated postoperatively, who can give informed consent, have no known psychological or psychiatric problems, and who are suitable for postoperative follow-up.
|
Following emergence from general anesthesia, patients will be evaluated at 4 different timepoints; (a) One hour after emergence, (b) Twenty four hour after emergence (c) One week after emergence (d) One month after emergence.
The first interview will be made face-to-face in the recovery unit, and other interviews will be made by phone.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Modified Brice interview
Time Frame: One hour after emergence
|
This interview consists of 5 questions.
Patients will be evaluated at 4 different timepoints following emergence.
First interview will be made face-to-face in the recovery unit, and other interviews will be made by phone.
|
One hour after emergence
|
Modified Brice interview
Time Frame: Twenty four hour after emergence
|
This interview consists of 5 questions.
Patients will be evaluated at 4 different timepoints following emergence.
First interview will be made face-to-face in the recovery unit, and other interviews will be made by phone.
|
Twenty four hour after emergence
|
Modified Brice interview
Time Frame: One week after emergence
|
This interview consists of 5 questions.
Patients will be evaluated at 4 different timepoints following emergence.
First interview will be made face-to-face in the recovery unit, and other interviews will be made by phone.
|
One week after emergence
|
Modified Brice interview
Time Frame: One month after emergence.
|
This interview consists of 5 questions.
Patients will be evaluated at 4 different timepoints following emergence.
First interview will be made face-to-face in the recovery unit, and other interviews will be made by phone.
|
One month after emergence.
|
Collaborators and Investigators
Investigators
- Principal Investigator: Bahattin Tuncali, Başkent University
Publications and helpful links
General Publications
- Myles PS, Leslie K, McNeil J, Forbes A, Chan MT. Bispectral index monitoring to prevent awareness during anaesthesia: the B-Aware randomised controlled trial. Lancet. 2004 May 29;363(9423):1757-63. doi: 10.1016/S0140-6736(04)16300-9.
- Sebel PS, Bowdle TA, Ghoneim MM, Rampil IJ, Padilla RE, Gan TJ, Domino KB. The incidence of awareness during anesthesia: a multicenter United States study. Anesth Analg. 2004 Sep;99(3):833-839. doi: 10.1213/01.ANE.0000130261.90896.6C.
- Sandin RH, Enlund G, Samuelsson P, Lennmarken C. Awareness during anaesthesia: a prospective case study. Lancet. 2000 Feb 26;355(9205):707-11. doi: 10.1016/S0140-6736(99)11010-9.
- Pollard RJ, Coyle JP, Gilbert RL, Beck JE. Intraoperative awareness in a regional medical system: a review of 3 years' data. Anesthesiology. 2007 Feb;106(2):269-74. doi: 10.1097/00000542-200702000-00014.
- Errando CL, Sigl JC, Robles M, Calabuig E, Garcia J, Arocas F, Higueras R, Del Rosario E, Lopez D, Peiro CM, Soriano JL, Chaves S, Gil F, Garcia-Aguado R. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Br J Anaesth. 2008 Aug;101(2):178-85. doi: 10.1093/bja/aen144. Epub 2008 May 30.
- Xu L, Wu AS, Yue Y. The incidence of intra-operative awareness during general anesthesia in China: a multi-center observational study. Acta Anaesthesiol Scand. 2009 Aug;53(7):873-82. doi: 10.1111/j.1399-6576.2009.02016.x. Epub 2009 Jun 3.
- Domino KB, Posner KL, Caplan RA, Cheney FW. Awareness during anesthesia: a closed claims analysis. Anesthesiology. 1999 Apr;90(4):1053-61. doi: 10.1097/00000542-199904000-00019.
- Ranta SO, Laurila R, Saario J, Ali-Melkkila T, Hynynen M. Awareness with recall during general anesthesia: incidence and risk factors. Anesth Analg. 1998 May;86(5):1084-9. doi: 10.1097/00000539-199805000-00035.
- Ekman A, Lindholm ML, Lennmarken C, Sandin R. Reduction in the incidence of awareness using BIS monitoring. Acta Anaesthesiol Scand. 2004 Jan;48(1):20-6. doi: 10.1111/j.1399-6576.2004.00260.x.
- Ishizawa Y. Mechanisms of anesthetic actions and the brain. J Anesth. 2007;21(2):187-99. doi: 10.1007/s00540-006-0482-x. Epub 2007 May 30.
- Moerman N, Bonke B, Oosting J. Awareness and recall during general anesthesia. Facts and feelings. Anesthesiology. 1993 Sep;79(3):454-64. doi: 10.1097/00000542-199309000-00007.
- Ghoneim M. The trauma of awareness: history, clinical features, risk factors, and cost. Anesth Analg. 2010 Mar 1;110(3):666-7. doi: 10.1213/ANE.0b013e3181cb5dfa. No abstract available.
- Lennmarken C, Bildfors K, Enlund G, Samuelsson P, Sandin R. Victims of awareness. Acta Anaesthesiol Scand. 2002 Mar;46(3):229-31. doi: 10.1034/j.1399-6576.2002.t01-1-460301.x.
- Mashour GA. Posttraumatic stress disorder after intraoperative awareness and high-risk surgery. Anesth Analg. 2010 Mar 1;110(3):668-70. doi: 10.1213/ANE.0b013e3181c35926. No abstract available.
- Bischoff P, Rundshagen I. Awareness under general anesthesia. Dtsch Arztebl Int. 2011 Jan;108(1-2):1-7. doi: 10.3238/arztebl.2011.0001. Epub 2011 Jan 10.
- Errando CL, Perez-Caballero P, Gelb AW, Sigl JC. Methodology, human factors, and incidence of intraoperative awareness. Acta Anaesthesiol Scand. 2010 Jul;54(6):781-3. doi: 10.1111/j.1399-6576.2010.02216.x. No abstract available.
- Enlund M, Hassan HG. Intraoperative awareness: detected by the structured Brice interview? Acta Anaesthesiol Scand. 2002 Apr;46(4):345-9. doi: 10.1034/j.1399-6576.2002.460402.x.
- Kotsovolis G, Komninos G. Awareness during anesthesia: how sure can we be that the patient is sleeping indeed? Hippokratia. 2009 Apr;13(2):83-9.
- American Society of Anesthesiologists Task Force on Intraoperative Awareness. Practice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative awareness. Anesthesiology. 2006 Apr;104(4):847-64. doi: 10.1097/00000542-200604000-00031. No abstract available.
- WINTERBOTTOM EH. Insufficient anaesthesia. Br Med J. 1950 Jan 28;1(4647):247. doi: 10.1136/bmj.1.4647.247-c. No abstract available.
- Sandlin D. A closer look at bispectral index monitoring. J Perianesth Nurs. 2001 Dec;16(6):420-2. doi: 10.1053/jpan.2001.28748.
- Wennervirta J, Ranta SO, Hynynen M. Awareness and recall in outpatient anesthesia. Anesth Analg. 2002 Jul;95(1):72-7, table of contents. doi: 10.1097/00000539-200207000-00013.
- Nordstrom O, Engstrom AM, Persson S, Sandin R. Incidence of awareness in total i.v. anaesthesia based on propofol, alfentanil and neuromuscular blockade. Acta Anaesthesiol Scand. 1997 Sep;41(8):978-84. doi: 10.1111/j.1399-6576.1997.tb04823.x.
- Schwender D, Kunze-Kronawitter H, Dietrich P, Klasing S, Forst H, Madler C. Conscious awareness during general anaesthesia: patients' perceptions, emotions, cognition and reactions. Br J Anaesth. 1998 Feb;80(2):133-9. doi: 10.1093/bja/80.2.133.
- Osterman JE, van der Kolk BA. Awareness during anesthesia and posttraumatic stress disorder. Gen Hosp Psychiatry. 1998 Sep;20(5):274-81. doi: 10.1016/s0163-8343(98)00035-8.
- Forman S. Awareness during general anesthesia: Concepts and controversies. Periop Med and Pain 2006; 25: 211-218
- Leslie K, Davidson AJ. Awareness during anesthesia: a problem without solutions? Minerva Anestesiol. 2010 Aug;76(8):624-8.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- KA12/154
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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