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Mémorisation peropératoire



  • La mémorisation est un évènement indésirable rare (autour de 1 cas/1000 AG) mais toujours possible au cours d’une anesthésie générale, malgréles mesures de prévention qui doivent néanmoins être appliquées.
  • Elle représente un traumatisme psychologique qui peut se chroniciser en syndromede stress post-traumatique, ou donner lieu à une plainte médicolégale.
  • Elle est le plus souvent associée à un réveil peropératoire.
  • Ce réveil est favorisé par la diminution des doses d’agent hypnotique, soit paraccident, soit en raison d’une mauvaise tolérance ce qui définit des populationsà risque.
  • La curarisation ne favorise pas le réveil, mais empêche son diagnostic.
  • La prévention repose sur la connaissance des concentrations de perte de conscienceet la gestion équilibrée de l’association hypnotique-morphinique, ajustéeà chaque individu par le monitoring de l’EEG.

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