title: Awareness in children: another two cases.
abstract: Intraoperative awareness is an anesthesia complication and occurs when a patient becomes conscious during a procedure performed under general anesthesia and subsequently has recall of these events. Awareness is well described phenomenon in adults, with an incidence of 0.1-0.2 % for low-risk surgical procedures. Recent studies have shown that awareness in children is more common than in adults. However, causes and the long-term psychological impact of awareness in children are unknown. We report on two cases of intraoperative awareness in children in an attempt to throw further light on this complex problem.
authors.affiliation: Department of Anaesthesiology and Department of Pediatric Surgery, Erasmus University Medical Centre - Sophia Children's Hospital, Rotterdam, The Netherlands. h.blussevanoudalblas@erasmusmc.nl
authors.forename: Heleen J
authors.initials: HJ
authors.lastname: Blussé Van Oud-Alblas
authors.forename: Adrian T
authors.initials: AT
authors.lastname: Bösenberg
authors.forename: Dick
authors.initials: D
authors.lastname: Tibboel
mesh_terms: D000732:Androstanols / Q000008:administration & dosage / Q000009:adverse effects; D000768:Anesthesia, General / Q000009:adverse effects* / Q000379:methods / Q000523:psychology*; D018685:Anesthetics, Inhalation / Q000008:administration & dosage / Q000009:adverse effects; D018686:Anesthetics, Intravenous / Q000008:administration & dosage / Q000009:adverse effects; D001364:Awareness / Q000187:drug effects*; D001932:Brain Neoplasms / Q000601:surgery*; D002648:Child; D003243:Consciousness / Q000187:drug effects; D004806:Ependymoma / Q000601:surgery*; D005283:Fentanyl / Q000008:administration & dosage / Q000009:adverse effects; D005500:Follow-Up Studies; D006801:Humans; D007406:Interview, Psychological / Q000379:methods; D007431:Intraoperative Complications / Q000523:psychology*; D007530:Isoflurane / Q000008:administration & dosage / Q000009:adverse effects; D008297:Male; D008577:Meningeal Neoplasms / Q000601:surgery*; D011939:Mental Recall / Q000187:drug effects; D003473:Neuromuscular Nondepolarizing Agents / Q000008:administration & dosage / Q000009:adverse effects; D010296:Parietal Lobe / Q000601:surgery*; D000077123:Rocuronium; D013874:Thiopental / Q000008:administration & dosage / Q000009:adverse effects; D017287:Ventriculoperitoneal Shunt
chemical_list: D000732:Androstanols; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D003473:Neuromuscular Nondepolarizing Agents; D007530:Isoflurane; D013874:Thiopental; D005283:Fentanyl; D000077123:Rocuronium