Accidental awareness under general anaesthesia

 

Brice interview (1970)

Questions

1.    Last thing before sleep

2.    First thing after wakeup

3.    Any dreams while asleep

4.    What was the worst thing

5.    What was the next worst thing

Timing

·      Straight after

·      Day later

·      Week later

 

Approach after an anaesthetic (“I was awake just now”)

·        Listen

·        Characterise

·        Document

·        Follow up

·        Refer

 

Approach before an anaesthetic (“this one time, I woke up”)

·        Listen

·        Characterise

·        Discuss

·        Mitigate

·        Follow up