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020 _a1139486373
020 _a9781139486378
040 _cdlc
082 _a617.96
100 _aGeorge A. Mashour
_938348
245 _aConsciousness, Awareness, and Anesthesia
260 _aCambridge
_bCambridge University Press
_c2010
300 _a 275 Pages
505 _aContents: Relevance of sleep neurobiology for cognitive neuroscience and anesthesiology The neurobiology of consciousness Memory formation during general anesthesia Dreaming during anesthesia Etiology and risk factors of intraoperative awareness Monitoring anesthetic depth Current controversies in intraoperative awareness I Current controversies in intraoperative awareness II Awareness during general anesthesia in the pediatric population Psychological consequences of intraoperative awareness Medicolegal consequences of intraoperative awareness Complaints of awareness after sedation and regional anesthesia The role of patient expectations Philosophical implications of awareness during general anesthesia Index
520 _aHypnosis, amnesia, and immobility are three major therapeutic endpoints of general anesthesia. In one to two cases out of a thousand, hypnosis and amnesia are not achieved – often leaving a patient immobile but capable of experiencing and remembering intraoperative events. Awareness during general anesthesia is one of the most dreaded complications of surgery and is feared by patients and clinicians alike. Despite many advances in the field, there are also a number of unresolved questions that persist. Some of the difficulties in the detection and prevention of awareness during anesthesia relate to the underlying complexities of the neuroscientific basis of consciousness. Consciousness, Awareness, and Anesthesia is a multidisciplinary approach to both the scientific problem of consciousness and the clinical problem of awareness during general anesthesia. An international cadre of authors with expertise in anesthesiology, neurobiology, and philosophy provides a cutting-edge perspective. No other book on the subject has drawn from such a breadth of scholarship.
_bCommon terms and phrases: acetylcholine activity Alkire amnesia amnesic Anaesth Anesth Analg anesthesia awareness anesthesia provider Anesthesiology anesthetic depth assessment associated awake awareness during anesthesia awareness in children B-Aware Baghdoyan basal forebrain behavior benzodiazepines bispectral index cardiac cesarean section cholinergic clinical cognitive concentration correlates cortex cortical decrease defined definition depth of anesthesia difficult dose dreaming drugs effects electroencephalogram experience explicit recall factors fentanyl findings first GABA GABAA GABAergic Ghoneim human identified implicit memory incidence of awareness increased influence inhalational anesthetics interview intraoperative awareness intravenous inverse zombies isoflurane ketamine light anesthesia Lydic Mashour memory function midazolam muscle relaxants neural neurons Neurosci nitrous oxide NREM opioids pain patients perception philosophical zombie pontine reticular formation postoperative prevent problem processed EEG property dualism propofol PTSD receptor reflects regional anesthesia REM sleep remifentanil reported response Samuelsson Sandin Sebel sedation sevoflurane significant specific stimuli surgery surgical thesia trauma unconsciousness volatile wakefulness
600 _xMedical / Surgery / General
_926768
600 _x Medical / Pain Management
_927506
600 _x Medical / Anesthesiology
_927044
600 _xMedical › Surgery › General
_927047
942 _2ddc
_cEB
999 _c7269
_d7269