Guerra F
Int Anesthesiol Clin. 1986 Winter;24(4):75-99. doi: 10.1097/00004311-198602440-00007.
Awareness and recall under anesthesia is a complication that appears to be related to the use of muscle relaxants. While little is known about unconscious awareness and its physical and psychological consequences, it is well known that recall can result in traumatic psychological sequelae under certain circumstances. The anesthesiologist must be aware of the possibility of awareness before it occurs and either try to avoid it or explain to the patient the possibility of awareness and the circumstances under which it might occur. In the event of unexpected awareness, the anesthesiologist must deal with the patient in an honest and forthright manner. Failure to do so may lead to dire psychological consequences for the patient and legal consequences for the anesthesiologist.
麻醉状态下的知晓与回忆是一种似乎与使用肌肉松弛剂有关的并发症。虽然对于无意识知晓及其生理和心理后果了解甚少，但众所周知，在某些情况下，回忆可能会导致创伤性心理后遗症。麻醉医生必须在知晓发生之前就意识到其可能性，并要么设法避免，要么向患者解释知晓的可能性以及可能发生的情况。如果发生意外知晓，麻醉医生必须以诚实和坦率的方式对待患者。否则可能会给患者带来严重的心理后果，给麻醉医生带来法律后果。
