Awareness Monitoring should not be routine. Jamie Sleigh. Awareness / Recall: Epidemiology. Sweden: 11785 patients 0.18% (paralysed) vs 0.1% (not) Sandin Lancet 2000 55;707 Australia : 10811 patients 0.11% Myles, BJA 2000;84:6-10 USA: 19575 patients
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= 26000 cases/yr in USA
values.Kuizenga et al Anesthesiology. 2001;95:607-15, Br J Anaesth. 2001 Mar;86(3):354-60.
Detection of awareness in surgical patients with EEG-based indices — bispectral index and patient state index.Schneider et al Br. J. Anaesth. 2003 91: 329
“Wide variation in the awake values and considerable overlap between consciousness and unconsciousness... further improvement is required”AAI vs BIS during propofol-remifentanil anaesthesia. Kreuer Br J Anaesth 2003; 91: 336
BIS vs Brain MetabolismQuantitative EEG Correlations with Brain Glucose Metabolic Rate during Anesthesia in Volunteers Alkire, Anesthesiology 1998