Incidence of recall, nightmares, and hallucinations during analgosedation in intensive care
dc.contributor.author | Schnabel, Kai | en_US |
dc.contributor.author | Rundshagen, Ingrid | en_US |
dc.contributor.author | Wegner, C. | en_US |
dc.contributor.author | am Esch, Schulte J. | en_US |
dc.date.accessioned | 2006-09-08T19:45:15Z | |
dc.date.available | 2006-09-08T19:45:15Z | |
dc.date.issued | 2002-01 | en_US |
dc.identifier.citation | Rundshagen, I.; Schnabel, K.; Wegner, C.; am Esch, Schulte J.; (2002). "Incidence of recall, nightmares, and hallucinations during analgosedation in intensive care." Intensive Care Medicine 28(1): 38-43. <http://hdl.handle.net/2027.42/41896> | en_US |
dc.identifier.issn | 0342-4642 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/41896 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=11818997&dopt=citation | en_US |
dc.description.abstract | Objective : To define the incidence of recall and dreams during analgosedation in critically ill patients. Design : Prospective clinical study. Setting : Anaesthesiological intensive care unit (ICU) in a university hospital. Patients and participants : Two hundred and eighty-nine critically ill patients, who either arrived intubated and sedated at the ICU or required intubation, mechanical ventilation, and sedation during their ICU stay. Interventions : none. Measurements and results : The patients were interviewed 48–72 h after discharge from the ICU. By a structured interview they were asked whether they recalled any event before they had regained consciousness at the ICU. Moreover they were asked for dreams. Descriptive statistics: 64.7% of all patients did not recall any event, before they regained consciousness. However, 17% ( n =49) of all patients indicated that they remembered the tracheal tube or being on the ventilator, before they woke up. Some patients (21.1%) reported dreams or dreamlike sensations. Some patients (9.3%) recalled nightmares, while 6.6% reported hallucinations. Conclusions : Critically ill patients reported a high incidence of recall for unpleasant events, which they thought to have taken place before they regained consciousness. The patients, who stayed longer than 24 h at the ICU, indicated vivid memory for nightmares and hallucinations. Further studies are suggested to evaluate: 1) whether there is an impact of the present findings on outcome; and 2) whether clinical scores for sedation or neurophysiological monitoring help to define the exact time, when recall happens, in order to guide therapeutic intervention. | en_US |
dc.format.extent | 50003 bytes | |
dc.format.extent | 3115 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Springer-Verlag | en_US |
dc.subject.other | Legacy | en_US |
dc.subject.other | Recall Dreams Hallucinations Intensive Care Critically Ill Patients Sedation Analgesia | en_US |
dc.title | Incidence of recall, nightmares, and hallucinations during analgosedation in intensive care | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Family Medicine and Primary Care | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Psychology, University of Michigan, Ann Arbor, USA, | en_US |
dc.contributor.affiliationother | Department of Anaesthesiology, University Hospital Eppendorf, Hamburg, Germany, | en_US |
dc.contributor.affiliationother | Department of Anaesthesiology, University Hospital Eppendorf, Hamburg, Germany, | en_US |
dc.contributor.affiliationother | University Hospital Charité, Department of Anaesthesiology, Campus Mitte, Schumannstrasse 20/21, 10117 Berlin, Germany, | en_US |
dc.contributor.affiliationumcampus | Ann Arbor | en_US |
dc.identifier.pmid | 11818997 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/41896/1/134-28-1-38_s00134-001-1168-3.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1007/s00134-001-1168-3 | en_US |
dc.identifier.source | Intensive Care Medicine | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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