วันพุธที่ 4 พฤษภาคม พ.ศ. 2554

Anaesthesia awareness - why use a paralytic?

According to a 2004 US study, approximately 1-2 in a thousand patients who undergo general anaesthesia in the US (this amounts to 20,000-40,000 people, out of a total of 20 million who undergo GA each year) will experience "anaesthesia awareness"; becoming conscious during surgery, and in 42% of cases feeling the pain of the procedure.

Because a paralytic is administered routinely as a part of GA, patients who experience anaesthesia awareness are unable to notify the surgeons of their pain, and are essentially tortured (albeit accidentally) during the operation.

My question is this - why is a paralytic so necessary that this risk would be taken for it's sake? The only thing I can think of is to suppress reflex movements that could interfere with the procedure, but it seems that

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