Raising awareness on awareness – Case Report
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25751/rspa.9871 |
Resumo: | Awareness is a rare though important complication of general anaesthesia that still occurs in the present, with an estimated incidence of 1-2:1000 general anaesthetics. We present the case of a 63-year-old female patient with breast cancer presenting for unilateral mastectomy, sentinel lymph node excision and placement of short-term tissue expander under general anaesthesia, who experienced intraoperative awareness. We then set out to perform a root cause analysis in search of contributing factors in this particular case, acknowledging the importance of automatic data collection systems in this type of investigation. A systematic search for the underlying cause should always be performed, as its importance extends not only the patient directly involved but also to subsequent cases, given that potentially repeatable errors or unsuspected equipment malfunction may be unveiled. |
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Raising awareness on awareness – Case ReportCaso ClínicoAwareness is a rare though important complication of general anaesthesia that still occurs in the present, with an estimated incidence of 1-2:1000 general anaesthetics. We present the case of a 63-year-old female patient with breast cancer presenting for unilateral mastectomy, sentinel lymph node excision and placement of short-term tissue expander under general anaesthesia, who experienced intraoperative awareness. We then set out to perform a root cause analysis in search of contributing factors in this particular case, acknowledging the importance of automatic data collection systems in this type of investigation. A systematic search for the underlying cause should always be performed, as its importance extends not only the patient directly involved but also to subsequent cases, given that potentially repeatable errors or unsuspected equipment malfunction may be unveiled.Sociedade Portuguesa de Anestesiologia2018-02-10T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25751/rspa.9871eng0871-6099Alves, Daniel RodriguesRodrigues, Nuno MiguelAlves, JulianaParente, Suzanainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-23T15:34:43Zoai:ojs.revistas.rcaap.pt:article/9871Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:04:11.634940Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Raising awareness on awareness – Case Report |
title |
Raising awareness on awareness – Case Report |
spellingShingle |
Raising awareness on awareness – Case Report Alves, Daniel Rodrigues Caso Clínico |
title_short |
Raising awareness on awareness – Case Report |
title_full |
Raising awareness on awareness – Case Report |
title_fullStr |
Raising awareness on awareness – Case Report |
title_full_unstemmed |
Raising awareness on awareness – Case Report |
title_sort |
Raising awareness on awareness – Case Report |
author |
Alves, Daniel Rodrigues |
author_facet |
Alves, Daniel Rodrigues Rodrigues, Nuno Miguel Alves, Juliana Parente, Suzana |
author_role |
author |
author2 |
Rodrigues, Nuno Miguel Alves, Juliana Parente, Suzana |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Alves, Daniel Rodrigues Rodrigues, Nuno Miguel Alves, Juliana Parente, Suzana |
dc.subject.por.fl_str_mv |
Caso Clínico |
topic |
Caso Clínico |
description |
Awareness is a rare though important complication of general anaesthesia that still occurs in the present, with an estimated incidence of 1-2:1000 general anaesthetics. We present the case of a 63-year-old female patient with breast cancer presenting for unilateral mastectomy, sentinel lymph node excision and placement of short-term tissue expander under general anaesthesia, who experienced intraoperative awareness. We then set out to perform a root cause analysis in search of contributing factors in this particular case, acknowledging the importance of automatic data collection systems in this type of investigation. A systematic search for the underlying cause should always be performed, as its importance extends not only the patient directly involved but also to subsequent cases, given that potentially repeatable errors or unsuspected equipment malfunction may be unveiled. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-02-10T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25751/rspa.9871 |
url |
https://doi.org/10.25751/rspa.9871 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
0871-6099 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Anestesiologia |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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_version_ |
1799130505198698496 |