Medical and Legal Evaluation of Sexual Hallucinations Under Anesthesia and Sedation: Case Reports
The Bulletin of Legal Medicine,
Vol. 24 No. 1 (2019)
Dreaming and hallucinations under sedation or anesthesia have been known since the early stages of anesthesia. Sexual hallucinations that develop under the influence of sedative or hypnotic drugs may lead to allegations of sexual harassment or assault by physicians, nurses and other health professionals who perform the intervention, as they are thought to be real and felt intensely by the patient. In order to prevent the physicians from being the subject of false accusations, it may be advisable that the intervening halls should be under surveillance, without interfering with the ethical sensitivity, if possible with other health workers of the same sex as the patient. The investigation of the drugs in terms of hallucinogenic effect during phase studies prior to the introduction to clinical use is also important to prevent similar cases. On the other hand, it is necessary to take all claims seriously and to investigate whether there ...
Download CitationEndnote/Zotero/Mendeley (RIS)
- Schneemilch C, Schiltz K, Meinshausen E, Hachenberg T. [Sexual hallucinations and dreams under anesthesia and sedation : medicolegal aspects]. Anaesthesist. 2012;61(3):234–41.
- Balasubramaniam B, Park GR. Sexual hallucinations during and after sedation and anaesthesia. Vol. 58, Anaesthesia. 2003. p. 549–53.
- Kayaalp OS. Akılcı Tedavi Yönünden Tıbbi Farmakoloji. Akılcı Tedavi Yönünden Tıbbi Farmakoloji. 2012. p. 123-133.
- Katzung Bertram G., Trevor Anthony J. Basic and Clinical Pharmacology 13 E : Bertram G. Katzung :. McGraw-Hill Education - Europe. 2015.
- Casagrande AM. Propofol for office oral and maxillofacial anesthesia: The case against low-dose ketamine. Vol. 64, Journal of Oral and Maxillofacial Surgery. 2006. p. 693–5.
- Marchaisseau V, Molia A, Herlem E, Germain M-L, Trenque T. [Propofol-induced hallucinations and dreams]. Therapie. 2008;63(2):141–4.
- Krasowski MD, Koltchine V V, Rick CE, Ye Q, Finn SE, Harrison NL. Propofol and other intravenous anesthetics have sites of action on the gamma-aminobutyric acid type A receptor distinct from that for isoflurane. Mol Pharmacol. 1998;53:530–8.
- Rolland B, Jardri R, Amad A, Thomas P, Cottencin O, Bordet R. Pharmacology of hallucinations: Several mechanisms for one single symptom? Vol. 2014, BioMed Research International. 2014.
- Pryce C, Mohammed A, Feldon J. Environmental manipulations in rodents and primates: Insights into pharmacology, biochemistry and behaviour. Pharmacology Biochemistry and Behavior. 2002;73(1):1–5.
- Chaw SH, Foo LL, Chan L, Wong KK, Abdullah S, Lim BK. Anesthesia in anti-N-methyl-d-aspartate receptor encephalitis – is general anesthesia a requisite? A case report. Brazilian J Anesthesiol. 2015.
- Brandner B, Blagrove M, McCallum G, Bromley LM. Dreams, images and emotions associated with propofol anaesthesia. Anaesthesia. 1997;52(8):750–5.
- Stickgold R, Hobson JA, Fosse R, Fosse M. Sleep, learning, and dreams: Off-line memory reprocessing. Vol. 294, Science. 2001. p. 1052–7.
- Kent EA, Bacon DR, Harrison P, Lema MJ. Sexual illusions and propofol sedation. Anesthesiology. 1992;77(5):1037–8.
- Hunter DN, Thornily A, Whitburn R. Arousal from propofol. Vol. 42, Anaesthesia. 1987. p. 1128–9.
- Young PN. Hallucinations after propofol. Vol. 43, Anaesthesia. 1988. p. 170–170.
- Marsch SC, Schaefer HG, Tschan C, Meier B. Dreaming and anaesthesia: total i.v. anaesthesia with propofol versus balanced volatile anaesthesia with enflurane. Eur J Anaesthesiol. 1992;9(4):331–3.
- Martinez Villar ML, d’Este Gonzalez JP, Aren Frontera JJ. [Erotic hallucinations associated with the use of propofol]. Rev Esp Anestesiol Reanim. 2000;47(2):90–2.
- Leslie K, Myles PS, Forbes a, Chan MT V, Swallow SK, Short TG. Dreaming during anaesthesia in patients at high risk of awareness. Anaesthesia. 2005;60(3):239–44.
- Yang Z, Yi B. Patient experience of sexual hallucinations after propofol-induced painless abortion may lead to violence against medical personnel. J Anesth. 2016;30(3):486–8.
- Cascella M, Fusco R, Caliendo D, Granata V, Carbone D, Muzio MR, et al. Anesthetic dreaming, anesthesia awareness and patient satisfaction after deep sedation with propofol target controlled infusion: A prospective cohort study of patients undergoing day case breast surgery. Oncotarget. 2017;8(45).
- Dundee JW. Fantasies during sedation with intravenous midazolam or diazepam. Med Leg J. 1990;58:29–34.
- Brahams D. Benzodiazepines and sexual assault, Canada. Lancet. 1991;337(8736):291–2.
- R. H, M. J. Sexual fantasies under the influence of midazolam. Rechtsmedizin. 1996;6(2):58–61.
- Chikkahanumanthappa NB, Dasara SG, Pawar SD, Takkalki V V. A comparative study of sedation with dexmedetomidine or midazolam during spinal anesthesia. Anaesthesia, Pain Intensive Care. 2016;20(3):328–33.