Anaes SAQs · Depth of anaesthesia & awareness
Accidental awareness under general anaesthesia — NAP5 and prevention
Final-viva question on AAGA: definition and classification, the NAP5 risk factors (TIVA, neuromuscular blockade, cardiac/obstetric/trauma), the prevention bundle (end-tidal monitoring, depth monitors, audible alarms), and the compassionate Brice-interview response to a report.
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Prompt
Define accidental awareness under general anaesthesia (AAGA), outline the principal risk factors identified by the Fifth National Audit Project, and describe your approach to preventing it and to responding to a patient who reports it.
Question
Define accidental awareness under general anaesthesia (AAGA), outline the principal risk factors identified by the Fifth National Audit Project, and describe your approach to preventing it and to responding to a patient who reports it[2][1].
References4ShowHide
- [1]Kao YT, et al. Accidental Awareness During General Anesthesia: A One-Year Follow-Up on Incidence. Asian J Anesthesiol, 2024.PMID 41194611
- [2]Bullard TL, et al. Intraoperative and Anesthesia Awareness. StatPearls, 2026.PMID 35881743
- [3]Kumar B, et al. Bispectral index-guided versus standard anaesthesia monitoring for intraoperative awareness. Bioinformation, 2026.PMID 42109420
- [4]Halder S, et al. An experimental study of the effect of neuromuscular blockade on EEG-based measures of awareness. Sci Rep, 2026.PMID 42069748