The idea of surgery in general spooks a lot of people. Everyone does their best to console patients who are nervous about being sliced open or poked around inside. However, sometimes it does not go as planned. What would you do if you woke up during the surgery being performed on your body? You are unable to speak. You cannot move. You feel the sensation of the surgery still going, and you are frozen for five full minutes to experience it.
This is one of the horrific cases that happen to roughly one in 19,600 patients. This study surveyed over three million patients who underwent general anesthesia in the United Kingdom and Ireland. More relatable studies about us citizens in the United States have worse news. One in every one thousand surgical patients wakes up during surgery in the US. A high portion of this number is from the amount of surgeries that require lower dosages of anesthesia. This includes emergency C-sections, cardiac and emergency trauma surgeries. Dealing with fragile people whose bodies demand dangerous medical procedures should not be given massive amount of anesthesia. It could put them “over the edge.”
Another factor that may contribute to this would be paralytics. When these are used, patients are unable to move and let doctors know that they are conscious. Doctors are taught ways to monitor periodically that people are still asleep, but they are not always reliable. Methods include testing of heart rate and blood pressure. They may rise when a person wakes up and becomes nervous and alert; however, the drugs being used often numb the body’s stress response. The amount of gas used in a person’s lungs are measured continuously, but if impacts each person differently.
A solution to this problem may be brain monitors. Doctors would be in charge of using the monitors to keep “brain activity below a certain threshold” during surgery. Professor Jaideep Pandi, consultant anesthetist at Oxford University Hospitals says that some studies show no signs of reduction in the rate of anesthetic awareness when these monitors are used.
I cannot imagine having to sit through something like that. The feeling that people have talked about in this CNN article terrifies me. “Among the symptoms experienced during the event, paralysis was the most distressing to patients — more so than pain,” says Pandit. Patients have developed severe posttraumatic stress disorder from this occurrence. Carol Weihrer had to sleep in a recliner for the last 16 years in fear of lying down and having flashbacks that cause her to starting thrashing. Another young boy showed signs of separation anxiety before speaking with a therapist about his nightmares that continue to haunt him. I hope that some day people do not have to innocently go through this experience. Surgery must already be difficult; people should not have to worry about waking up during it.