Reden mit Bewusstlosen?

Es gibt Berichte von Patienten über Wahrnehmungen während tiefer Bewusstlosigkeit, z. B. Narkose oder Koma. Diese Erlebnisse können eine erhebliche Traumatisierung darstellen. Am belastendsten wird hierbei offenbar das Fehlen von Kommunikation empfunden. Obwohl es bereits Hinweise auf günstige Effekte positiver Worte während Allgemeinanästhesie gibt, haben diese Erkenntnisse unseren Umgang mit Bewusstlosen bisher nicht wesentlich verändert.

Abstract

There are numerous reports from patients concerning perceptions during deep unconsciousness, be it general anaesthesia, cardiopulmonary resuscitation or intensive care and coma treatment. These experiences can cause considerable traumatisation. The most stressful experience is apparently not feeling pain, but the lack of communication, i.e. being recognised and being able to express oneself. Although there are already indications of positive effects of positive communication during general anaesthesia, these findings have not yet markedly changed the way we deal with the unconscious.

Schlüsselwörter

Kommunikation - Allgemeinanästhesie - Koma - Reanimation - Schmerzreduktion - intraoperative Wachheit

Keywords

communication - general anaesthesia - coma - resuscitation - pain reduction - intraoperative awareness

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