Psychiatric consequences of intraoperative awareness: short review and case series

H Vulser; G Airagnes; K Lahlou-Laforêt; A-M Galliot; F Limosin; B Cholley; C Lemogne; S M Consoli

doi:10.1016/j.genhosppsych.2014.10.006

Psychiatric consequences of intraoperative awareness: short review and case series

Gen Hosp Psychiatry. 2015 Jan-Feb;37(1):94-5. doi: 10.1016/j.genhosppsych.2014.10.006. Epub 2014 Oct 25.

Authors

H Vulser¹, G Airagnes², K Lahlou-Laforêt³, A-M Galliot⁴, F Limosin⁵, B Cholley⁶, C Lemogne⁷, S M Consoli⁸

Affiliations

¹ AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry, Paris, France. Electronic address: vulser.helene@gmail.com.
² AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry, Paris, France; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France. Electronic address: guillaume.airagnes@egp.aphp.fr.
³ AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry, Paris, France. Electronic address: khadija.lahlou-laforet@egp.aphp.fr.
⁴ AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry, Paris, France. Electronic address: annemarie.galliot@gmail.com.
⁵ AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry, Paris, France; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France; Inserm, U894, Centre Psychiatrie et Neurosciences, Paris, France. Electronic address: frederic.limosin@ccl.aphp.fr.
⁶ Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France; AP-HP, Hôpitaux Universitaires Paris Ouest, Service d'Anesthésie-Réanimation, Paris, France. Electronic address: bernard.cholley@egp.aphp.fr.
⁷ AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry, Paris, France; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France; Inserm, U894, Centre Psychiatrie et Neurosciences, Paris, France. Electronic address: cedric-lemogne@orange.fr.
⁸ AP-HP, Hôpitaux Universitaires Paris Ouest, Department of Psychiatry, Paris, France; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France. Electronic address: silla.consoli@egp.aphp.fr.

PMID: 25583217
DOI: 10.1016/j.genhosppsych.2014.10.006

Abstract

Intraoperative awareness is an unwanted outcome that consists of an explicit recall of events during a surgical procedure performed under general anesthesia. Despite its relatively infrequent occurrence, intraoperative awareness is of significant concern due to frequent adverse psychiatric sequelae. We present three patients who developed posttraumatic sequelae following an episode of awareness under anesthesia and discuss the importance of early detection and specific care.

Keywords: Anesthesia; Awareness; Stress disorders.

Publication types

Case Reports
Review

MeSH terms

Adult
Aged
Female
Humans
Intraoperative Awareness / psychology*
Male
Middle Aged
Stress Disorders, Post-Traumatic / etiology*
Young Adult