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It clarifies that the advisory is not a standard, guideline, or absolute requirement and cannot guarantee specific outcomes. It summarizes the state of the literature and current task force perspectives, noting limited evidence compared with standards due to insufficient rigorously controlled studies and the need for periodic revision as knowledge and practice evolve.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/practice-advisory-for-intraoperative-awareness-and-brain-function-monitoring/387287/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/practice-advisory-for-intraoperative-awareness-and-brain-function-monitoring/387287.png","ImageObject",300,407,{"name":92,"@type":93},"LangkahRina","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-24",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the purpose of this practice advisory?","Question",{"text":113,"@type":114},"It is intended to assist clinical decision-making by synthesizing expert opinion, feasibility data, commentary from open forums, and consensus survey results.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Is this advisory a standard or guideline that must be followed?",{"text":118,"@type":114},"No. Practice advisories are not intended as standards, guidelines, or absolute requirements and may be adopted, modified, or rejected based on clinical needs and constraints.",{"name":120,"@type":111,"acceptedAnswer":121},"How does the advisory define consciousness during general anesthesia?",{"text":122,"@type":114},"Consciousness is defined as the patient’s ability to process information from surroundings, assessed through purposeful responses to stimuli such as organized movements after voice commands.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},387287,1790506297,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},962090893776,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Anesthesiology 2006; 104:847–64 © 2006 American Society of Anesthesiologists, Inc. Lippincott Williams & Wilkins, Inc.  \nPractice Advisory for Intraoperative Awareness and Brain Function Monitoring  \nA Report by the American Society of Anesthesiologists Task Force on Intraoperative Awareness  \nPRACTICE advisories are systematically developed reports that are intended to assist decision making in areas of patient care. Advisories provide a synthesis and analysis of expert opinion, clinical feasibility data, open forum commentary, and consensus surveys. Advisories are not intended as standards, guidelines, or absolute requirements. They may be adopted, modified, or rejected according to clinical needs and constraints.  \nThe use of practice advisories cannot guarantee any specific outcome. Practice advisories summarize the state of the literature and report opinions derived from a synthesis of task force members, expert consultants, open forums, and public commentary. Practice advisories are not supported by scientific literature to the same degree as are standards or guidelines because sufficient numbers of adequately controlled studies are lacking. Practice advisories are subject to periodic revision as warranted by the evolution of medical knowledge, technology, and practice.  \nDeveloped by the American Society of Anesthesiologists Task Force on Intraoperative Awareness: Jeffrey L. Apfelbaum, M.D. (Chair), Chicago, Illinois; James F. Arens, M.D. , Houston, Texas; Daniel J. Cole, M.D. , Phoenix, Arizona; Richard T. Connis, Ph.D. , Woodinville, Washington; Karen B. Domino, M.D. , Seattle, Washington; John C. Drummond, M.D. , San Diego, California; Cor J. Kalkman, M.D. , Ph.D. , Utrecht, The Netherlands; Ronald D. Miller, M.D. , San Francisco, California; David G. Nickinovich, Ph.D. , Bellevue, Washington; Michael M. Todd, M.D., Iowa City, Iowa. Submitted for publication October 31, 2005 . Accepted for publication October 31, 2005 . Supported by the American Society of Anesthesiologists under the direction of James F. Arens, M.D. , Chair, Committee on Practice Parameters. Approved by the House of Delegates on October 25, 2005 . A complete list of references used to develop this Advisory is available by writing to the American Society of Anesthesiologists.  \nAddress correspondence to the American Society of Anesthesiologists: 520 North Northwest Highway, Park Ridge, Illinois 60068-2573 . This Practice Advisory, as well as all published ASA Practice Parameters, may be obtained at no cost through the Journal Web site, [www.anesthesiology.org](www.anesthesiology.org).  \n* Reflex withdrawal from a painful stimulus is not considered a purposeful response, as indicated by the “Continuum of depth of sedation, definition of general anesthesia, and levels of sedation/analgesia,” American Society of Anesthesiologists Standards, Guidelines, and Statements, October 27, 2004 .  \n† American Society of Anesthesiologists: Continuum of depth of sedation, definition of general anesthesia, and levels of sedation/analgesia, American Society of Anesthesiologists Standards, Guidelines, and Statements, October 27, 2004 .  \nMethodology  \nA. Definitions  \nIntraoperative awareness under general anesthesia is a rare occurrence, with a reported incidence of 0 .1–0.2% .1–4 Significant psychological sequelae (e.g., post–traumatic stress disorder) may occur after an episode of intraoperative awareness, and affected patients may remain severely disabled for extended periods of time.5 However, in some circumstances, intraoperative awareness may be unavoidable to achieve other critically important anesthetic goals.  \nThe following terms or concepts discussed in this Advisory include: consciousness, general anesthesia, depth of anesthesia or depth of hypnosis, recall, amnesia, intraoperative awareness, and brain function monitors. Consistent definitions for these terms are not available in the literature. For purposes of this Advisory, these terms are operationally defined or","cbCaiuFRBAkkUYHA","https://ap.wps.com/l/cbCaiuFRBAkkUYHA","pdf",176864,18,"English","# Methodology\n## A. Definitions\n## Consciousness\n## General Anesthesia\n## Depth of Anesthesia\n## Recall","[{\"question\":\"What is the purpose of this practice advisory?\",\"answer\":\"It is intended to assist clinical decision-making by synthesizing expert opinion, feasibility data, commentary from open forums, and consensus survey results.\"},{\"question\":\"Is this advisory a standard or guideline that must be followed?\",\"answer\":\"No. Practice advisories are not intended as standards, guidelines, or absolute requirements and may be adopted, modified, or rejected based on clinical needs and constraints.\"},{\"question\":\"How does the advisory define consciousness during general anesthesia?\",\"answer\":\"Consciousness is defined as the patient’s ability to process information from surroundings, assessed through purposeful responses to stimuli such as organized movements after voice commands.\"}]","Practice Advisory for Intraoperative Awareness and Brain Function Monitoring | PDF",1790284729,45]