a study in munich is trying to find answers to these questions head of anesthesiology care hard schneider is testing what happens in the brain when consciousness is lost under anesthesia. so far we know very little about the brain mechanisms involved in this process. magnetic resonance imaging provides brain scans of test persons while they are awake and under general anesthesia. so where is consciousness located. yeah we anesthesiologists have a very simplistic idea of consciousness. for us patients are unconscious when they re unresponsive or in react or. what i call a consciousness component is basically a reaction to stimulus. or conscious reaction to stimuli. but for psychologists or social scientists this has nothing to do with consciousness. the
delirium cases by a 3rd. but researchers at the shari take a want to begin their efforts earlier during surgery and. the deeper the anesthesia the more likely it is a delirium will occur so general anesthesia has to be deep enough for a patient to have no memories and no unpleasant sensations but not so deep that too much medication has to be administered to feel. that. the doctors at the shari tay and. len show us how this can be achieved using the example of a prostate removal. they combine general anesthesia with regional anesthesia. pain killers are injected directly into the abdomen to switch off any feelings of pain there. when general anesthesia is accompanied by regional anesthesia
one in order to minimize and reduce errors prospective anesthesiologists at the height of burke anesthesia and emergency medicine simulation center artists on dogs were. left director and anesthesiologist christopher annoyed house. explains the simulation of. a 45 year old man who was hit by a car in the city while walking on he still awake as spontaneous breathing and his circulation is stable the rest you ll see in a moment. the instructors control the dall from the next room. doc i missed a quick i m the anything could you open your mouth please oh. yes can you stretch your neck. yes good friends a bit of a could you please do something for the pain my stomach hurts so much yes we ll
suddenly fail which leaves communication and teamwork where misunderstandings do occur that can lead to mistakes happening misfortune is often done this instead inference is a very good thing. the trainers simulate the worst case scenario cardiac arrest and we don t have any circulation anymore so we need to press. the fact is the pressure rising. with the move. to truth you know this is. not a pause for a moment circulation is picking up the phone. thanks very much let s stop here for no take a deep breath. did you think i was there for you. from my side i think i could have called the attending physician earlier before i started the anesthesia but i think overall we got through it well. the seminar is not
manifest on scored it s in saxony is one of around $16000.00 people who wake up during general anesthesia every year in germany accidentally. it was a traumatic experience. and he still haunted by nightmares years later. why he had experienced anesthesia awareness was never explained bennett the best asked the doctors. they said this kind of thing shouldn t happen and i can t imagine what it s like and i hoped he would never happen again but i also said there s no point in my taking legal action because i wouldn t get anywhere else if the doctors admitted that have to cover the costs. around 16000000 medical procedures requiring general anesthesia are carried out every year in germany during which one patient in a 1000 experiences unintended intra operative awareness has been addressed noted.