The focus of this research database is on how stress affects women's health, and options for treatment using mind-body therapies.  To obtain full summaries of the articles, see "How to Get Abstracts" below

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10589606 JA

High levels of baseline anxiety preop required significantly increased doses of induction and maintenance anesthesia.

1999 Anesth Analg 89;6:1346-51

Maranets, I. and Kain, Z. N.

11339773 JA

In a phone study of 1216 Canadians regarding attitudes toward general anesthesia, the majority felt it was important to talk to the anesthesiologist the day before surgery. 20% were very concerned about brain damage, waking up intraoperatively, and memory loss, and 12% about dying intraoperatively. These concerns were greater than those of postop pain or nausea and vomiting.

2001 Can J Anaesth 48;4:333-9

Matthey, P., Finucane, B. T., and Finegan, B. A.

10917951 JA

70% survey return of predominantly white, educated male cardiac surgical patients showed 44% used complementary and alternative medicine (including use of herbs and supplements), only 17% had discussed this with their doctors, and 48% didn't want to discuss it with their doctors, even if asked. Implications for interference with perioperative meds.

2000 J Thorac Cardiovasc Surg 120;2:335-41

Liu, E. H., Turner, L. M., Lin, S. X., Klaus, L., Choi, L. Y., Whitworth, J., Ting, W., and Oz, M. C.

11574384 JA

Of a large survey of non-cardiac surgical patients at San Francisco Bay Area hospitals, 39.2% admitted to using alternative medicine supplements, of which the most common was herbs (67.6%). 44.4% did not consult with their primary physician, and 56.4% did not inform the anesthesiologist before surgery. 53% stopped the products on their own prior to surgery.

2001 Anesth Analg 93;4:1062-8

Leung, J. M., Dzankic, S., Manku, K., and Yuan, S.

8832453 R,T

Review of serotonin receptor families found throughout the body, the use of targeted agonists and antagonists in modern medicine, and possible anesthetic interactions.

1996 J Clin Anesth 8;5:402-25

Gyermek, L.

10584975 R

Pharmacological gender differences in bioavailability, distribution and metabolism are reviewed. These findings have significant importance in pain therapy, glucose management, and arrhythmia susceptibility.

1999 Int J Clin Pharmacol Ther 37;11:529-47

Beierle, I., Meibohm, B., and Derendorf, H.

8112929 JA

The advantages of the consistent use of the semantics of positive suggestion.

1994 Int J Clin Exp Hypn 42;1:8-12

Erickson, J. C. 3rd

[Top]

Anesthesia Awareness

9788027 R,T

An estimated 30,000 patients a year experience awareness during anesthesia, and are at a significant risk to develop PTSD. Review and tutorial from the psych dept. at Boston University, emphasizing the importance of social support and acknowledgement.

1998 Gen Hosp Psychiatry 20;5:274-81

Osterman, J. E. and van der Kolk, B. A.

11939910 JA

Nine consecutive patients who had experienced anesthesia awareness, and who had been given information and repeated discussion postop until the patients felt that they were satisfied and did not need further contact, were contacted two years later. Four had severe, and three milder psychological disability due to the awareness event. Authors suggest that professional psychiatric long-term follow-up become standard of care for these patients.

2002 Acta Anaesthesiol Scand 46;3:229-31

Lennmarken, C., Bildfors, K., Enlund, G., Samuelsson, P., and Sandin, R.

2678496 R,T

Suggested methods of treatment and prevention of the negative psychological sequelae of auditory perception during general anesthesia.

1989 South Med J 82;10:1220-3

Jelicic, M. and Bonke, B.

2753571 JA

Case report of the use of hypnosis in a patient with severe PTSD due to consciousness during surgery.

1989 Int J Clin Exp Hypn 37;3:192-206

Peebles, M. J.

9602573 JA

45 German patients who had experienced anesthesia awareness were surveyed about their experiences (recalled conversations including personal comments that had been made, feeling touched, feeling pain, recognizing faces), and sequelae (anxiety, nightmares, PTSD).

1998 Br J Anaesth 80;2:133-9

Schwender, D., Kunze-Kronawitter, H., Dietrich, P., Klasing, S., Forst, H., and Madler, C.

8122744 JA

Survey of Australian women who had experienced anesthesia awareness (1950s to early 1990s); graphic descriptions and wide range of symptomatology, but almost universal lack of understanding or helpful management by medical personnel (patients were disbelieved, ignored, scoffed at or laughed at). Estimated incidence of 0.2 - 0.9%, but up to 6% with c-section, especially on an emergency basis, due to lower dose of anesthesia used until baby out.

1993 Anaesth Intensive Care 21;6:837-43

Cobcroft, M. D. and Forsdick, C.

9726194 R,T

Suggests use of a Bispectral index EEG monitor to reduce incidence of anesthesia awareness.

1998 CRNA 9;2:39-43

Halliburton, J. R.

9069872 R,T

Discussion of anesthesia awareness from an anesthesia perspective.

1997 J Perianesth Nurs 12;1:17-24

Kiviniemi, K.

9852916 JA

Intraop/postop word association testing showed patients capable of processing intraoperative auditory information, p<.001.

1998 Circulation 98;19 Suppl:II289-92; discussion II292-3

Adams, D. C., Hilton, H. J., Madigan, J. D., Szerlip, N. J., Cooper, L. A., Emerson, R. G., Smith, C. R., Rose, E. A., and Oz, M. C.

9063614 MA

Meta-analysis from 44 studies suggesting that while positive intraoperative suggestions have little postoperative effect, patients do remember specific information given under anesthesia.

1996 Conscious Cogn 5;4:525-41

Merikle, P. M. and Daneman, M.

9726195 R,T

Suggests monitoring the auditory midlatency response during anesthesia to try and prevent awareness problems.

1998 CRNA 9;2:44-9

Smith, T. L. and Zapala, D.

7717055 R,T

Suggests the use of “behavioral anesthesia” via earphones, music tapes, white noise and positive suggestion to decrease possible impact of anesthesia awareness.

1994 AANA J 62;5:441-9

Kiviniemi, K.