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How to avoid surgeons not noticing that patient became conscious?

It usually sounds like horror story: it feels like being trapped in a corpse, unable to move or scream and feeling intense pain, but surgeons continue to operate not noticing that patient is conscious.

It is reasonable to accept occasional failures of anaesthesia. But it is difficult to believe that there is no ways in modern medicine to monitor a patient’s consciousness during a surgery.

How often not noticing happens and are there means to avoid it?

Egle
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