Talk:Anesthesia awareness

Plan for Article Overhaul and Major Edits

Hello fellow Wikipedians! As part of a Wikipedia course at my medical school, I would like to make some major edits to this article. I recently did an oral presentation on awareness under anesthesia, and in reviewing this article, I have found many issues. The main ones are:

• There is a lack of citation in many parts of the article. For example, there is no reference in the entirety of the "paralytics/muscle relaxant use" section.
• The information is most likely out of date. The majority of citations are from 1980-2004. One of the causes the article discusses is the malfunction of the Boyle F model...which is from the WWII era (per article itself) and is not what we use in our hospitals today.
• The article is poorly organized with redundant information.
• As a previous Wikipedian has pointed out, the tone of this article does not appear neutral. "Most cases of awareness are caused by inexperience and poor anesthetic technique" or "Factors such as younger age, obesity...may increase the anesthetic dose needed to produce unconsciousness but this is often used as an excuse for poor technique." Neither of these statements have citations.

Here are my proposed changes that I'll be working on in the coming month:

• Use anesthesia textbooks and recent review articles as sources to update the information and make the terminology more precise.
• Make the tone more neutral by getting rid of accusatory language and presenting all the risk factors equally (i.e balance patient factors and anesthesia factors).
• More or less follow the Medicine MoS for diseases/disorders to improve organization. Thus, will combine, delete, or reorganize current sections.
• Sections to delete: awareness and recall (more precise definitions to be under mechanism/pathophysiology), experience (put under signs/symptoms and outcomes), conscious sedation and monitored anesthesia care (put under risk factors or have separate section about patient expectation), memory (condense under mechanism/pathophysiology), cognitive psychologists study memory under anesthesia (not sure how this contributes to the article as there are many more clinicians out there studying this topic).
• Sections to add: controversies (clearly delineate what information is controversial and what is actually known)/
• The rest of the sections will be updated and improved upon (i.e. include BIS and ETAC as present day monitoring methods, better discussion of prevention, etc.)

I welcome any and all thoughts and suggestions you guys may have! -Ssyang1 (talk) 23:39, 7 October 2019 (UTC)

Peer Review Comments

Overall the article looks great! It discusses all of the major points of anesthesia awareness with adequate information to support each, following the recommended guidelines for medical articles.

Some suggestions include:

• Adding a sentence to the lead about the society/culture section
• Explaining medical jargon in the body: “thoracic”, “hypovolemia”, “oesophageal intubation”, “quiescent”
• Clarifying the effects of succinylcholine vs. NM blockade drugs
• Clarifying the 2nd sentence of the equipment failure section
• Clarifying/ substantiating “poor technique” in Physiology section, to make sure no bias against healthcare providers
• Break down society/culture into different subheadings, i.e. television, film, public figures and provide years for each film/tv show episode
• Update references to contain more recent publications

Great work again! Sogupta (talk) 18:38, 21 October 2019 (UTC)

Garbled sentence in lead

@Elli: in this edit, you changed a grammatical sentence into one that is ungrammatical, and hard to understand. Can you fix it, please? Thanks, Mathglot (talk) 23:40, 4 June 2021 (UTC)

@Mathglot: looks like I accidentally deleted a word - better now? Sorry about that. Elli (talk | contribs) 01:19, 5 June 2021 (UTC)

@Elli: much! Thanks. Mathglot (talk) 01:35, 5 June 2021 (UTC)

Clarification in Lead Paragraph

Good Morning!

I am proofreading this article as part of an elective in medical school. In the lead paragraph, we mention BIS and ETCO2 monitoring. I am going to add a small part of a sentence to clarify that the BIS has not been proven to decrease the incidence of awareness as reported in Morgan & Mikhail's 7th edition. I will also add the citation.

Thank you! Jhoy34 (talk) 17:44, 19 March 2024 (UTC)

Wiki Education assignment: TCU SOM Wikipedia Elective Spring 2024 Second

This article was the subject of a Wiki Education Foundation-supported course assignment, between 11 March 2024 and 22 March 2024. Further details are available on the course page. Student editor(s): Jhoy34 (article contribs).

— Assignment last updated by Jhoy34 (talk) 18:04, 19 March 2024 (UTC)