More than 21 million patients in North America alone receivegeneral anesthesia each year,1 and thanks to increasing knowledge,skill, and sophisticated technology, the vast majority of anestheticprocedures are uneventful. However, a rare but serious adverseevent is the explicit recall of sensory perceptions during generalanesthesia, termed "awareness" or "intraoperative awareness."The incidence of awareness may be as high as 1 or 2 for every1000 patients, possibly higher among children.2,3,4,5 Awarenessoccurs more frequently among patients who have received neuromuscular-blockingdrugs, who cannot signal to the medical team that they are conscious.3In most cases, awareness is . . . [Full Text of this Article]
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From the Departments of Anesthesia and Physiology, University of Toronto, and the Department of Anesthesia, Sunnybrook Health Sciences Centre — both in Toronto.
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