Hypnosis, amnesia, and immobility are three major therapeutic endpoints of general anesthesia. In one to two cases out of a thousand, hypnosis and amnesia are not achieved - often leaving a patient immobile but capable of experiencing and remembering intraoperative events. Awareness during general anesthesia is one of the most dreaded complications of surgery and is feared by patients and clinicians alike. Despite many advances in the field, there are also a number of unresolved questions that persist. Some of the difficulties in the detection and prevention of awareness during anesthesia relate to the underlying complexities of the neuroscientific basis of consciousness. Consciousness, Awareness, and Anesthesia is a multidisciplinary approach to both the scientific problem of consciousness and the clinical problem of awareness during general anesthesia. An international cadre of authors with expertise in anesthesiology, neurobiology, and philosophy provides a cutting-edge perspective. No other book on the subject has drawn from such a breadth of scholarship.
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In tens of thousands of cases per year in the United States alone, patients recall the events of surgery. Awareness during general anesthesia is a feared complication by both patients and clinicians alike. This complication reflects our inability to distinguish between consciousness and unconsciousness in a patient who is pharmacologically paralyzed. Consciousness, Awareness, and Anesthesia is a book addressing the clinical aspects of awareness, the underlying brain science of consciousness, and the philosophical implications of both.About the Author:
Dr Mashour received his M.D. and Ph.D. in neuroscience from Georgetown University and was awarded Fulbright scholarships for neuroscience research in Berlin and Bonn. He completed his residency and chief residency in anesthesiology at the Massachusetts General Hospital and Harvard Medical School, as well as fellowship training in neuroanesthesiology at the University of Michigan. He is currently the Director of Neuroanesthesiology, as well as Assistant Professor of Anesthesiology and Neurosurgery at the University of Michigan Medical School. His main clinical interests are neuroanesthesiology and neurocritical care. Dr Mashour's major scholarly focus is consciousness and anesthesia. He is credited with developing the cognitive unbinding paradigm of general anesthesia, as well as advocating for the role of anesthesiology in the study of consciousness. In his clinical research, Dr Mashour is the principal investigator of a 30,000-patient study focused on the prevention of awareness during general anesthesia. He has published and lectured extensively on the subjects of consciousness, awareness, and anesthetic mechanisms. Dr Mashour is the recipient of numerous awards for his work as a clinician, scholar, and educator.
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