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Intra-Operative Behavioral Tasks in Awake Humans Undergoing Deep Brain Stimulation Surgery

Intra-Operative Behavioral Tasks in Awake Humans Undergoing Deep Brain Stimulation Surgery

Published on: January 6, 2011

Non-verbal response to intraoperative conversation.

H L Bennett, H S Davis, J A Giannini

British Journal of Anaesthesia

|February 1, 1985

Summary

Patients undergoing surgery showed increased ear-touching behavior after intraoperative suggestions, even with amnesia for the suggestion. This highlights the subconscious impact of anesthesia-delivered messages on postoperative actions.

Area of Science:

Anesthesiology
Psychology
Surgical Outcomes

Background:

Subliminal messaging during anesthesia is not well understood.
Postoperative behaviors can be influenced by intraoperative events.

Purpose of the Study:

To investigate the effect of intraoperative spoken suggestions on postoperative patient behavior.
To assess patient recall of intraoperative suggestions under anesthesia.

Main Methods:

A double-blind study with 33 patients undergoing various surgeries (herniorraphy, cholecystectomy, orthopaedic).
Patients were randomly assigned to a suggestion group or a control group.
The suggestion group received spoken statements about ear-touching during anesthesia (nitrous oxide/enflurane or halothane).

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Main Results:

Suggestion group patients touched their ear significantly more often than controls (tetrachoric correlation 0.61, P < 0.001).
The frequency of ear-touching was also higher in the suggestion group (Mann-Whitney U test, P < 0.02).
All patients in the suggestion group exhibited complete amnesia for the intraoperative spoken suggestion.

Conclusions:

Intraoperative suggestions delivered during anesthesia can influence postoperative behavior.
Anesthesia-induced amnesia does not prevent the behavioral effects of subconscious suggestions.
This suggests a potential for using intraoperative suggestions to modify patient actions post-surgery.