Har anestesisjuksköterskor oro att awareness förekommer under generell anestesi?

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Sammanfattning: Background: Risk of awareness during general anesthesia is 0.1-0.2%.Intraoperative awareness is defined as the occurrence of a patient becoming aware during a procedure performed under general anesthesia and then with recall of memory of these events postoperative.Aim: The aim of this study is to describe if nurse anesthetists have any anxiety/concern that awareness can occur in general anesthesia.Metods: This study was conducted as a qualitative interview study with eleven semi-structured interviews. The data collection is done at two major anesthesia clinics in western Sweden. The interviews were analyzed using qualitative content analysis.Results: Anesthetic nurses who participated in the interview study have no great concern that the patient should receive awareness under general anesthesia. All participants are aware that there is a small risk that the patient will be exposed to awareness under general anesthesia. More than half of the anesthetic nurses who participated in the interview study have information and knowledge about patient groups at greater risk of being exposed to awareness. Nearly all anesthesia nurses who participated in the interview study emphasized the significance of continuously regular monitoring it is important to keep an overall picture of the patient's condition during anesthesia. Eight of eleven participants find that experience is a important regarding their own anesthesia technique and assessment of the risk of awareness. Many participants described that they became calmer over the years because they had gathered information about how anesthesia works in reality and how the patient is affected during surgery.Conclusion: Nurse anesthetists have no anxiety/concern that awareness occur in patient under general anesthesia. Experience has significant importance and affects anesthesia techniques and monitoring.

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