Connected consciousness after tracheal intubation in young adults: an international multicentre cohort study
Authors' conclusion
Connected consciousness occured after intubation in 11% of young adults, with females at increased risk.
Study context
- Population
- Young people aged 18–40 yr undergoing GA with tracheal intubation338 completed
- Participants
- 344 people
- Outcome
- Incidence of connected consciousness (response to command, isolated forearm technique) after tracheal intubation
- Follow-up
- Shortly after tracheal intubation
Methodological detailsinternational, multicentre, isolated forearm technique
- International
- Multicentre
- Isolated forearm technique
Main finding
As reported in the abstract
Connected consciousness (response to command) after tracheal intubation
Responses after intubation
37/338 subjects
11%
Observational data: associations, not effects.
Secondary outcomes
Responsiveness by sex
| Values | aOR (95% CI) | P value | ||
|---|---|---|---|---|
| Female sexLogistic regression | Females 13% · Males 6% | 2.7 (1.1–7.6) | P = 0.022 | |
| 0.10.31310Adjusted odds ratio (log scale) |
Responsiveness with continuous anaesthesia before laryngoscopy
| aOR (95% CI) | P value | ||
|---|---|---|---|
| Continuous anaesthesia before laryngoscopyLogistic regression | 0.43 (0.20–0.96) | P = 0.041 | |
| 0.20.5125Adjusted odds ratio (log scale) |
| Outcome | Values | P value |
|---|---|---|
| Nature of responses: to command only vs to nonsense only | Command only 13 events · Nonsense only 4 events | P = 0.049 |
Nature of responses: to command only vs to nonsense only
- Responses more likely after a command than after a nonsense statement
Original publication
Connected consciousness after tracheal intubation in young adults: an international multicentre cohort study. Br J Anaesth. Published 23 May 2022. doi:10.
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