Conciencia intra-operatoria

Abstract

[ES] Despierto (Awake) es un thriller americano, la ópera prima del joven director Joby Harold, que plantea el problema de todos aquellos que durante una intervención quirúrgica mantienen un estado de conciencia que les permite sentir (y después recordar) algunos episodios ocurridos mientras deberían estar adecuadamente sedados y analgesiados, o sea, bien anestesiados. Existen varios factores que pueden determinar esta situación que aunque rara, es real. Los médicos deben estar preparados para responder a las cuestiones que surgen en la población motivadas por este tipo de filmes, concretamente cuando la temática puede generar disociaciones cognitivas con eventuales modificaciones en el comportamiento de los pacientes, posiblemente temiendo someterse a cirugías que sean necesarias.

[EN] Awake is an American thriller, the opera prima of the young director Joby Harold, that addresses the problem of all those who maintain a state of awareness during a surgical intervention, which that allows them to feel (and afterwards recall) some of the episodes that occurred when they should have been sedated and pain-free (analgesics); that is, they have been poorly anaesthetized. Several factors are involved this situation, which, although rare, does occur. Physicians should be prepared to respond to the questions of individuals motivated by this type of film, in particular when the topic may generate cognitive dissociations with possible modifications in the behaviour of the patients, who possibly fear being subjected to surgery that is necessary for them.