Consciousness fluctuation during general anesthesia: a theoretical approach to anesthesia awareness and memory modulation

Curr Med Res Opin. 2016 Aug;32(8):1351-9. doi: 10.1080/03007995.2016.1174679. Epub 2016 Apr 15.

Abstract

With anesthesia awareness as a model of study we debate the both fascinating and dangerous phenomenon called consciousness fluctuation that takes place during surgical anesthesia. In accordance with current scientific knowledge this paradox is the consequence of our limits in both precise knowledge of anesthesia mechanisms and our inability to accurately assess the level of anesthesia with brain monitoring. We also focus on the relationships between memory and anesthesia, as well as the possibility of interfering with memory during general anesthesia.

Keywords: Consciousness monitors; Evoked potentials, auditory; Intraoperative awareness; Intraoperative monitoring; Mental recall.

MeSH terms

  • Anesthesia, General*
  • Brain / physiopathology
  • Consciousness*
  • Electroencephalography
  • Humans
  • Intraoperative Awareness*
  • Memory*