You are still aware of happening you can still here the doctors liking and see the room. Then you realize that the doctors are getting ready to start the surgery, you panic because still awake. Why would they start the surgery if still awake, then it you?C,-1?0 under anesthetics but still aware of going on. If this is your first major surgery than you might think this is normal. But you know something is wrong. You start to panic more because you can hear yourself talking but no one else can.

Then the surgery starts, you feel anything because of the pain medications been given but you still are aware of going on. You realize that you control this situation so you deal with it and pray for it o be over as soon as possible, but after awhile you start to feel pressure and pulling on your area of surgery. Then you start to feel the pain of the operations, because the pain medication is wearing off. You start screaming but no one hears your cries. Trapped In your body experiencing one of the most traumatic events possible. This terrifying phenomenon is called Awareness?CҐ,-. ?D. Awareness?CҐ,-. ?0 or intra-operative is a phenomenon that occurs during general anesthesia when a patient has not had enough general anesthetic to prevent consciousness. (Wisped) Anesthetic awareness is a rare experience that occurs when surgical patients can recall their surroundings or an event sometimes even pressure or pain ? related to their surgery while they were under general anesthesia. (ANNA) Generally, anesthetic awareness Is due to Insufficient anesthetic effect (thus allowing a state of consciousness that permits memory formation) which results from inadequate dosing or delivery of the primary anesthetic agent.

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Insufficient anesthetic effect can be due to using to low of a concentration of anesthetic, where a patient has a larger anesthetic requirement but the anesthesiologist Is unaware, or NY failure of misuse of anesthesia equipment. (ANNA position statement 2. 12) The American Association of Nurse Anesthetists (ANNA) Is trying to prevent the Incidence of unintended awareness under general anesthesia, by keeping a written policy for the prevention and management of this devastating outcome.

This policy states: during parenthesis assessment the risk of awareness should be assessed and discussed during informed consent, proper function of all anesthesia equipment should be verified in order to ensure delivery of anesthetic agents to the patient, If appropriate the anesthesia care plan should Include pharmacological agents consolable Dentally recalling ten rills AT unlamented awareness, Drain Tunneling monitor should be considered particularly in situations where the risk of interpretative awareness is increased, and patients should be appropriately assessed to identify possible occurrence of unintended awareness to minimize the potential for psychological injury. (ANNA) Anesthetic awareness is psychologically traumatic. Serious and potentially disabling psychological injury may result in some patients who experience interpretative awareness.