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Psychological consequences of awareness and their treatment
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Care, Anaesthesiology. Östergötlands Läns Landsting, Anaesthesiology and Surgical Centre, Department of Intensive Care UHL.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
2007 (English)In: Best Practice & Research Clinical Anaesthesiology, ISSN 1521-6896, Vol. 21, no 3, 357-367 p.Article in journal (Refereed) Published
Abstract [en]

Intraoperative awareness with subsequent recall is a rare but serious complication with an incidence of 0.1-0.2%. In approximately one third of the patients who have experienced awareness, late severe psychiatric sequelae may develop. The psychiatric symptoms in these patients fulfil the diagnostic criteria for post traumatic stress disorder. To prevent awareness as a negative outcome after anaesthesia, a thorough perioperative management of anaesthesia is necessary. The definite risk for post traumatic stress disorder following awareness indicates the necessity of postoperative clinical routines to identify awareness patients. The problem must be acknowledged. Professional psychiatric assessment and follow up should constitute standard practice. The treatments of choice are Eye Movement Desensitisation Reprocessing and Cognitive Behaviour Therapy. © 2007 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
2007. Vol. 21, no 3, 357-367 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-40014DOI: 10.1016/j.bpa.2007.04.005Local ID: 52056OAI: diva2:260863
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2010-05-17

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Lennmarken, ClaesSydsjö, Gunilla
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Faculty of Health SciencesAnaesthesiologyDepartment of Intensive Care UHLObstetrics and gynecologyDepartment of Gynecology and Obstetrics in Linköping
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