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Study Results Indicate Brain Wave Monitors do not Prevent Anesthesia Awareness esearch presented at the Annual Meeting of the American Patients who experience awareness may develop long-term psycho- R Society of Anesthesiologists did not find that brain wave moni- tors are superior to traditional, readily available anesthesia monitoring methods for preventing long-term psychological symp- logical consequences including recurring nightmares, anxiety, and flashbacks. Some may even develop post-traumatic stress disorder. Postoperative interviews were conducted with six of the patients toms related to the experience of anesthesia awareness. with awareness experiences between 18 months and two years after Researchers discussed sub-study findings of the B-Unaware trial, their surgery. Four of the patients contacted reported lucid memories conducted at Washington University in St. Louis to determine of the procedures consistent with their original reports, but did not whether a patient monitoring protocol using the BIS monitor was report negative repercussions. more effective in preventing anesthesia awareness than a simple Two patients reported having negative psychological impact to protocol based on routine measurement of exhaled anesthetic gas. their daily lives as a result of their awareness experience. Both “Out of 2,000 patients involved in the B-Unaware trial, we found (patients) were part of the BIS protocol during the B-Unaware trial that four patients experienced definite awareness and five patients and reported symptoms included avoidance behavior, recurrent experienced possible awareness. Of those patients, six were part of nightmares, social debility, and depression. Both patients have sought the BIS protocol, suggesting that the BIS protocol was not superior in counseling to help cope with their symptoms. this study in preventing cases of awareness,” said Michael Avidan, “The follow-up interviews conducted as a part of this sub-study MD, associate professor of anesthesiology and surgery at Washington found that long-term psychological symptoms were not prevented University in St. Louis. by the BIS protocol,” Avidan concluded. “Similar to previous study While the BIS protocol did not prevent all cases of awareness, findings, we found that the majority of anesthesia awareness episodes researchers hypothesized that the BIS monitor, which alerted anesthesia did not have a negative long-term psychological or emotional impact practitioners with an audible alarm when the BIS number was above for patients.” I the recommended upper bound of 60, would prevent prolonged Source: American Society of Anesthesiologists awareness with possible resultant long-term psychological symptoms. Consumers and Plastic Surgeons Say Economy is Cutting into Cosmetic Procedures New medical data: Consumers look to minimally–invasive procedures he economic crisis is forcing many pulse of potential patients and ASPS Member appointment now compared to 30 T consumers to re-evaluate their cosmetic surgery plans, according to results of consumer and plastic surgeon polls released Surgeons, and the results are in.” In March, and then again in October,
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