• Anesthesia and analgesia · Apr 2013

    Randomized Controlled Trial Comparative Study

    Assessment of intraoperative awareness with explicit recall: a comparison of 2 methods.

    • George A Mashour, Christopher Kent, Paul Picton, Satya Krishna Ramachandran, Kevin K Tremper, Christopher R Turner, Amy Shanks, and Michael S Avidan.
    • Division of Neuroanesthesiology, Department of Anesthesiology, University of Michigan Medical School, 1H247 UH/SPC-5048, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5048, USA. gmashour@umich.ed
    • Anesth. Analg.. 2013 Apr 1;116(4):889-91.

    BackgroundSuperiority of the modified Brice interview over quality assurance techniques in detecting intraoperative awareness with explicit recall has not been demonstrated definitively.MethodsWe studied a single patient cohort to compare the detection of definite awareness using a single modified Brice interview (postoperative day 28-30) versus quality assurance data (postoperative day 1).ResultsThe incidence of awareness based on the modified Brice interview was 19 per 18,847 or 0.1%. Fewer awareness cases (incidence 0.02%) were detected by the quality assurance approach (P < 0.0001).ConclusionThe modified Brice interview is the preferred modality for assessing intraoperative awareness with explicit recall.

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