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Because you are unconscious and your brain is inactive, it doesn't perceive and process the pain signals it is receiving, and you don't remember them when you wake up.
With lighter anaesthetics (sedation), you are partly awake and will feel some some pain during the operation, but you won't remember afterwards, which is an effect of the sedation drugs used.
Dr Kar-Soon Lim, Anaesthetic Fellow, Concord Hospital Anaesthetic is Greek for unable to feel.
General anaesthetics make patients unconscious, relax their muscles and forget what happened. If the anaesthetist does not notice, these unfortunate people feel everything, remember everything and suffer mental trauma. With a normal general anaesthetic, you are made deeply unconscious by the anaesthetic agents, but as the surgeon is operating, the pain nerve fibres are still being stimulated and firing off to the brain.
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Sedation (say for having a dislocated shoulder popped back) is different - depending on the combination of medications used, it is possible to experience pain at the time, but to have no recollection of it later.
It is therefore necessary to add analgesia either by the the use of other drugs such as morphine, or by the use of local anaesthesics to block the transmission of pain messages.
Dr Ross Mac Pherson, Anaesthetist, Royal North Shore Hospital You are unconscious when anaesthetised, so don't experience pain, but your body still responds with reflex responses to pain, such as increased pulse rate and blood pressure.
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