Assessment of Intraoperative Awareness with Explicit Recall: A Comparison of 2 Methods

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Abstract

BACKGROUND:

Superiority of the modified Brice interview over quality assurance techniques in detecting intraoperative awareness with explicit recall has not been demonstrated definitively.

METHODS:

We studied a single patient cohort to compare the detection of definite awareness using a single modified Brice interview (postoperative day 28–30) versus quality assurance data (postoperative day 1).

RESULTS:

The incidence of awareness based on the modified Brice interview was 19 per 18,847 or 0.1%. Fewer awareness cases (incidence 0.02%) were detected by the quality assurance approach (P < 0.0001).

CONCLUSION:

The modified Brice interview is the preferred modality for assessing intraoperative awareness with explicit recall.

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