A review of the literature reveals only scarce data and observations concer
ning the recollections of patients treated in a intensive care unit, althou
gh intraoperative awareness under general anaesthesia has been extensively
reported. In the present study we investigated the recollections of patient
s who had undergone artificial ventilation in intensive care units.
Methods: Fifty patients who had undergone mechanical ventilation in intensi
ve care units at the University Hospital of Vienna were retrospectively int
erviewed in regard of their experience during the treatment. A score was us
ed to quantify discomfort.
Results: All patients remembered having been treated at the intensive care
unit. The most unpleasant experience was tracheal suctioning which was reme
mbered by 60%. The next most unpleasant experience was extubation; 52% reme
mbered this intervention. Eighty-four per cent of patients remembered the m
edical staff, 90% of them had confidence in them, 86% remembered the nursin
g staff and 91% had confidence in them.
Conclusion: In spite of unpleasant memories of intensive care treatment, of
which tracheal suctioning was perceived as most unpleasant, the majority o
f patients expressed a positive evaluation of their treatment at the intens
ive care unit.