• Br J Anaesth · Feb 2023

    Editorial Comment

    Presumption of insensibility during general anaesthesia.

    • Andrew E Hudson.
    • Department of Anesthesiology, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, USA; Department of Anesthesiology and Perioperative Medicine, University of California, Los Angeles, Los Angeles, CA, USA. Electronic address: ahudson@mednet.ucla.edu.
    • Br J Anaesth. 2023 Feb 1; 130 (2): e209e212e209-e212.

    AbstractWhilst the general presumption of the public is that general anaesthesia prevents awareness of any sensory stimuli, Lennertz and colleagues have shown in this issue of the British Journal of Anaesthesia that 11% of young adults were able to respond to auditory commands when neuromuscular blocking drugs were prevented from reaching one arm using the isolated forearm technique. This occurred with anaesthetic regimens that followed usual clinical practice in each of the 10 countries that enrolled patients, and it was significantly more common in women than in men. This high incidence demands attention. Further characterisation of the experience of these patients is essential to our understanding of the state of general anaesthesia.Copyright © 2022 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.

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