{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T04:13:35Z","timestamp":1777436015033,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,7,1]],"date-time":"2017-07-01T00:00:00Z","timestamp":1498867200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Anaesth Intensive Care"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:p>The aim of this study was to analyse the incidents related to awareness during general anaesthesia in the first 4,000 cases reported to webAIRS\u2014an anaesthetic incident reporting system established in Australia and New Zealand in 2009. Included incidents were those in which the reporter selected \u201cneurological\u201d as the main category and \u201cawareness\/dreaming\/ nightmares\u201d as a subcategory, those where the narrative report included the word \u201cawareness\u201d and those identified by the authors as possibly relevant to awareness. Sixty-one awareness-related incidents were analysed: 16 were classified as \u201cawareness\u201d, 31 were classified as \u201cno awareness but increased risk of awareness\u201d and 14 were classified as \u201cno awareness and no increased risk of awareness\u201d. Among 47 incidents in the former two categories, 42 (89%) were associated with low anaesthetic delivery and 24 (51%) were associated with signs of intraoperative wakefulness. Memory of intraoperative events caused significant ongoing distress for five of the 16 awareness patients. Patients continue to be put at risk of awareness by a range of well-described errors (such as syringe swaps) but also by some new errors related to recently introduced anaesthetic equipment, such as electronic anaesthesia workstations.<\/jats:p>","DOI":"10.1177\/0310057x1704500405","type":"journal-article","created":{"date-parts":[[2019,1,23]],"date-time":"2019-01-23T01:01:04Z","timestamp":1548205264000},"page":"441-447","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Awareness during General Anaesthesia in the First 4,000 Incidents Reported to webairs"],"prefix":"10.1177","volume":"45","author":[{"given":"K.","family":"Leslie","sequence":"first","affiliation":[{"name":"Head of Research, Department of Anaesthesia and Pain Management, Royal Melbourne Hospital; Honorary Professorial Fellow, Anaesthesia, Perioperative and Pain Medicine Unit, Melbourne Medical School, Department of Pharmacology and Therapeutics, University of Melbourne; Honorary Adjunct Professor, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. D.","family":"Culwick","sequence":"additional","affiliation":[{"name":"Medical Director, Australian and New Zealand Tripartite Anaesthesia Data Committee, Anaesthetist, Department of Anaesthesia, Royal Brisbane and Women's Hospital, The University of Queensland, Brisbane, Queensland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Data Analyst, Australian and New Zealand Tripartite Anaesthesia Data Committee, Brisbane, Queensland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. A.","family":"Hannam","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. F.","family":"Merry","sequence":"additional","affiliation":[{"name":"Head of Research, Department of Anaesthesia and Pain Management, Royal Melbourne Hospital; Honorary Professorial Fellow, Anaesthesia, Perioperative and Pain Medicine Unit, Melbourne Medical School, Department of Pharmacology and Therapeutics, University of Melbourne; Honorary Adjunct Professor, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,7,1]]},"reference":[{"key":"bibr1-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeq133"},{"key":"bibr2-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X9302100506"},{"key":"bibr3-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X1704500105"},{"key":"bibr4-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X1704500205"},{"key":"bibr5-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200002000-00043"},{"key":"bibr6-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.bja.a013383"},{"key":"bibr7-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)11010-9"},{"key":"bibr8-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000130261.90896.6C"},{"key":"bibr9-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/42.6.535"},{"key":"bibr10-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2002.02565.x"},{"key":"bibr11-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199309000-00007"},{"key":"bibr12-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181b8b6ca"},{"key":"bibr13-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e318281e9ad"},{"key":"bibr14-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X9302100528"},{"key":"bibr15-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeu313"},{"key":"bibr16-0310057X1704500405","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeu314"},{"key":"bibr17-0310057X1704500405","first-page":"CD003843","volume":"6","author":"Punjasawadwong Y.","year":"2014","journal-title":"Cochrane Database Syst Rev"}],"container-title":["Anaesthesia and Intensive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X1704500405","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X1704500405","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:09:51Z","timestamp":1777367391000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0310057X1704500405"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1177\/0310057X1704500405"],"URL":"https:\/\/doi.org\/10.1177\/0310057x1704500405","relation":{},"ISSN":["0310-057X","1448-0271"],"issn-type":[{"value":"0310-057X","type":"print"},{"value":"1448-0271","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7]]}}}