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Awareness with explicit recall during general anaesthesia: current status and issues

Recently, the incidence of awareness data from NAP5 project (the national UK survey of intraoperative awareness during general anaesthesia) have been published in this journal. These baseline data offer an estimated incidence of awareness with recall, as reported by participant anaesthetists, as low as 1:15 414. However, due to the characteristics of the survey, that is, voluntary report by doctors, the results should be considered with caution.
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Management of difficult airway patients and the use of a difficult airway registry at a tertiary care pediatric hospital. Sheeran PW ,  Walsh BK ,  Finley AM ,  Martin AK ,  Brenski AC . Author information Abstract BACKGROUND: Appropriate recognition and management of the pediatric difficult airway is essential. Two patient deaths in a 2-year period involving children with a known difficult airway led to the formation of the institution's multidisciplinary Difficult Airway Committee. METHODS: Patients with a suspected difficult airway or a known difficult airway are entered into a registry of difficult airway patients. A note describing the airway and any experiences at airway manipulation is entered as part of a difficult airway note in the patient's electronic medical record as soon as the patient is recognized as having a difficult airway. A call system has been developed to mobilize expert emergency airway assistance for these patients. Multi...