A Comparative Study of Intraoperative Awareness Using Modified Brice Questionnaire in Patients Undergoing Emergency and Elective Surgery under General Anaesthesia

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DOI: 10.21522/TIJPH.2013.12.03.Art027

Authors : Shigil Varsha T, Gopalakrishnan V. K, Harish kumar J, Abirami S, Niranjni S, Lakshmi R

Abstract:

Intra-operative awareness sometimes referred to as awareness while under general anaesthesia, is a rare but noteworthy phenomenon in which patients experience consciousness during surgery. It can result in several long-term emotional disturbances, anxiety, and post-traumatic stress disorder (PTSD). One method for identifying intra-operative awareness in patients after surgery is the Modified Brice questionnaire. The main objective of the study was to facilitate a comprehensive evaluation of the level and presence of awareness during operation. The Patients were randomly categorized into two groups of 20 each; group elective and group emergency, modified Brice questions were asked to the patients and it is noted numerically as scores 1-6. The results were analysed using paired “t”-test, Chi-square test and ANOVA. The p-value <0.001 was statistically significant. Out of 40 patients, 20 undergoing emergency surgery have awareness in contrast to the other 20 undergoing elective surgery. The mean awareness of emergency surgery was significantly higher when compared with elective surgery. Because of unforeseen procedures, the need to take patients straight to the operating room without knowing their height, weight, or if they have any medication allergies, and the lack of appropriate and comprehensive diagnostic testing, intraoperative awareness is higher in emergency surgery than in elective surgery.

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