ArticleAnesthesiology research and practice2026
Operating Room Professionals' Awareness of Possible Unconscious Auditory Perception During General Anesthesia: A Cross-Sectional Survey Study.
Article in Anesthesiology research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Operating Room Professionals' Awareness of Possible Unconscious Auditory Perception During General Anesthesia: A Cross-Sectional Survey Study.Anesthesiology research and practice · 2026Article
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1 author.
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Abstract
Background: Explicit recall during general anesthesia is rare; however, experimental and clinical evidence suggests that auditory stimuli may sometimes be processed at an implicit or unconscious level. Routine intraoperative conversations differ from structured therapeutic suggestions; nevertheless, they form part of the auditory environment surrounding anesthetized patients. This study aimed to assess operating room professionals' awareness of possible unconscious auditory perception related to intraoperative conversations during general anesthesia, their previous educational exposure, and their professional attitudes. Methods: In this cross-sectional survey, an anonymous 19-item online questionnaire was distributed to operating room health professionals in Türkiye through professional communication networks. Descriptive statistics were reported as Results: A total of 251 responses were analyzed, and 96.4% of participants reported that they were actively working in the operating room. Most participants agreed that intraoperative communication should remain within appropriate professional boundaries (97.2%) and that awareness-oriented education on this topic is needed (88.0%). However, 74.5% reported that they had not received formal education on this topic, and only 19.5% reported exposure to related scientific education or activities. The study-specific exploratory Awareness/Professional Attitude Index was 3.61 ± 0.67 and showed high internal consistency (Cronbach's alpha = 0.83). Index scores were higher in women than in men (3.76 vs 3.43; Conclusions: Operating room professionals reported substantial awareness of the importance of intraoperative conversations in the context of possible unconscious auditory perception during general anesthesia. However, formal educational exposure to this topic was limited. These descriptive findings do not demonstrate effects on patient outcomes; however, they identify an awareness-education gap and support awareness-oriented education, clearer communication norms around anesthetized patients, and further research using standardized measurement approaches, as well as observational or interventional designs.
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