Gamingcore Emojis & Text

﹒ʬʬ﹒⪩⪨﹒⟡﹒ᐢ..ᐢ﹒◖﹒⇅﹒○﹒✿﹒⊹﹒∇﹒✸﹒⟢﹒❀﹒ᵔᴗᵔ﹒♡﹒〇﹒ıllı﹒ᶻz﹒⊂⊃﹒␥﹒⿸﹒ꔠ﹒✶﹒◍﹒▿﹒⤸﹒⬚﹒៶៸﹒△﹒→﹒✶﹒（）﹒▥﹒▤﹒▦﹒▧﹒▨﹒▩﹒░﹒▒﹒▓﹒⿴﹒◫﹒⬚﹒▣﹒≧≦﹒ㄑ﹒⎙﹒➜﹒★﹒⨳﹒✿﹒❀﹒✶﹒✸﹕☆﹒◐﹒◉ ﹒◖◗﹒▽﹒ᶻz﹒‹𝟹﹒♡﹒ᐢ..ᐢ﹒﹫﹒⿴﹒→﹒☓﹕ᵔᴗᵔ﹒⺌﹒⪩⪨﹒◎﹒⊹﹒ᶻ﹕→ ．(＞。☆)﹔⇆﹒ꜛ﹒░﹒❥﹒？﹒！﹒◍﹒﹏﹒✦﹒⟡﹒＞＜﹒◌﹒⿴﹒✧﹒𖥔﹒%﹒﹙﹚﹒◜◡◝﹒ꜝꜝ﹒⟡﹒⪩⪨﹒☓﹒⬦﹒✦﹒◈﹒✶﹒⬙﹒⟡﹒⇆﹒♡﹒﹢﹒ᶻ﹒✹﹒﹢﹒✶﹑〇﹐罒﹢♡﹒⇆﹑⬚﹐ᶻ﹒❀﹐✶﹒▹﹒◖﹒✩﹒∇﹒▨﹐◌﹐❀﹒⿴﹒✿﹢﹐░﹒ᶻz﹐☆﹒⊂⊃﹑ⵌ﹒▦﹒✿﹒⺌﹒◂﹒⿴﹒❰❰﹒♡﹒ᶻz﹒❥﹒⩇﹒⊞﹐ʬʬ﹒♢﹐ᐢ..ᐢ﹐✩﹒ᶻz﹒❥﹒⟡﹒✷﹒✕﹐〇﹐✿﹒Ꜣ﹒⟡﹒˃̵ᴗ˂̵﹒♡﹐≋﹒⊂⊃﹒ᐢᗜᐢ﹒❀﹒﹢﹒⇵﹒⪨﹕↺﹐✿﹒Ꜣ﹒✶﹐≋﹒⇆﹐ʬʬ﹒﹗﹐➜﹒⬦﹕ᶻz﹒✦﹒﹢﹒▢﹒░﹒⭔﹒ʬʬ﹒✿﹒☰﹐◖◗﹒？﹒✶﹒﹏﹒ꕀ﹑ᵔᴗᵔ﹒ᗢ﹒✿﹐⊂⊃﹒ᐢᗜᐢ﹒ꕀ﹐リ﹐口﹐ꕀ﹒（｀δ´）﹒口，✿﹐⊂⊃﹒ᐢᗜᐢ﹒░﹒𖦹﹐゛✿﹑（｀δ´）﹒イ。ꕀ﹑リ﹐⊂⊃﹒ꔠ﹒口﹐･ᴗ･﹒░﹑リ﹒◐﹐、﹕✧﹒✶﹔？﹐ʬʬ﹒▹﹒❀﹒⭔﹒▿﹒⺡﹒✿﹒﹢﹒░﹑⬦﹒૪ ﹒〹﹒罒﹒ᶻz﹒◎﹐ꕀ﹒◖◗﹒⺌﹒〣﹒ᗢ﹒⺌﹒⿸﹑ꔠ﹒❀﹒➜﹒▦﹒◐﹒✷﹒◉﹒⿴﹒⿻﹒✦﹒★﹒☆﹒ıllı﹢☆﹒❀﹕▧﹒⟡﹒★﹕ıllı﹒▒﹒◎﹐☆﹒ꕀ﹐➜﹒⪩﹒〇﹐➜﹒★﹕◐﹒％﹕▧﹒⊂⊃﹒♡﹒ꕀ﹒ᶻz﹒₊ˎ✧﹒⪩﹒˃ᴗ˂﹕˃ᗜ˂﹕⿴﹒ᶻz﹒☆﹔⿴﹒✶﹒ᵔᴗᵔ﹒➜﹒⭔﹕⪩⪨﹢◒﹒◎﹒✿﹒⊂⊃﹔♡﹒◍﹒✦﹒⪩⪨﹒▧﹒⟡﹕➜﹐▦﹐✦﹒✶﹐﹢﹒ㄑ﹕ꕀ﹒＞＜﹐ꔠ﹐✿﹐×﹐丶﹐＞︿﹒リ﹕﹢﹐﹔★﹒ᶻz﹒⿴﹒⭔﹒✿﹒⊹﹒⭔﹒⨯﹒➜﹒★﹒◞﹒◟◝﹒◜﹒﹪﹒→﹐ıllı﹒★﹒✦﹒⌕﹒⌗﹒✿﹒⊹﹒✸﹒❍﹒⭓﹒◒﹒﹏﹒₊﹒▹﹒ᶻz﹒％﹒◖﹒░﹒ʬʬ﹒⿴﹒⫘﹒◎﹒⨳﹒⌕﹕★﹒☆﹒⌗﹐﹪﹐⌯﹐﹟﹐◐﹒▒﹒◎﹒⇆﹒☆﹒❀﹒☆﹒ıllı﹒↺﹒◍﹒✶﹒ᵔᴗᵔ﹒░﹒⇵﹒▧﹒◍﹒♡﹕❀﹑⿸﹕▞﹒✿﹒╰﹒░﹐◎﹒♡﹒◜ᴗ◝﹒˃ᴗ˂ ♡﹐﹅﹒✿﹒⊞﹒ıllı﹒♡﹒⊞﹕▞﹒✿﹒❀﹒⌕﹒⿸﹒✶﹒❀﹒✷﹒✸﹒▒﹒ᶻz﹒✿﹐♡﹐❀﹒░﹒⇵﹒▨﹕◍﹒♡﹒⌕﹒˃̵ᴗ˂̵﹑♡﹒✿﹒◍﹒⊞﹒∇﹒✶﹒ᵔᴗᵔ﹒◎﹒⇆﹒☆﹒@﹒˘ᗜ˘﹒☆﹔⿴﹒⪩﹐ᶻz﹒➜﹒⪩﹔◖﹐❀﹕⿸﹔﹢﹑ᐢᗜᐢ﹒⊂⊃﹑✿﹒◎﹒イ﹐ꕀ﹒˃̵ᴗ˂̵﹒✶﹒ꕀ﹒▦﹐⊂⊃﹒⇆﹒☆﹒⬚﹒❀﹕➜﹒⪩﹒ᗢ﹒◍﹒⊞﹒∇﹒✶﹒ᵔᴗᵔ﹒◎﹒ᶻz﹒⪨﹒✶﹑✹﹒⪩。ꕀ﹒✿﹒リ﹒⊞﹒⟡﹒⿴﹒☓﹐⊂⊃﹒➜﹒⟡﹒⪩⪨﹒･ᴗ･﹒ꕀ﹒ᶻz﹒✿﹒◎﹒☓﹒☆﹔リ﹒˃̵ᴗ˂̵﹒✶﹑ꕀ﹒▦﹒リ﹐⇆﹒☆﹒⬚﹒❀﹕➜﹒⪩﹒〇﹒◍﹒⊞﹒∇﹒✶﹒ᵔᴗᵔ﹒◎﹒ᶻz﹒⪨﹒✶﹑✹﹒⪩﹒ꕀ﹒✿﹔➜﹐﹏﹐★☆﹒┆︎﹒⩇﹒✿﹔✸﹕♡﹐◌﹒❥﹐％﹑〹．ʬʬ﹕੭﹐♢﹒口﹒⇣⇡﹒☆﹔⌗﹒⪩﹐ᶻ﹒➜﹒⪩﹔◖﹐❀﹕⿸﹑ᐢᗜᐢ﹒⊂⊃﹑✿﹒！﹒◎﹒リ﹐ꔠ﹐✿﹑∇﹒イ﹐ꕀ﹒˃̵ᴗ˂̵﹒✶﹑﹒ꕀ﹒▦﹒⊂⊃﹒⇆﹒☆﹒⬚﹒❀﹕➜﹒⪩﹒⩇﹕✿﹒ʬʬ﹕口﹐〇﹒◍﹒⊞﹒∇﹒✶﹒ᵔᴗᵔ﹒◎﹒ᶻz﹒⪨﹒✶﹑✹﹒⪩﹐ꕀ﹒✿﹒⊞﹒⟡﹒⿸﹑␥﹒♡﹕リ﹒☓﹐⊂⊃﹒➜﹒⟡﹒⪩⪨﹒･ᴗ･﹒ꕀ﹒ᶻz﹒✿﹒☓﹒✩﹒⊞﹕❀﹑◌﹒⊞﹒✸﹕⌗﹕★﹒ᶻz﹒✦﹒★☆﹒ıllı﹢☆﹕❀﹒▧﹒⟡﹒★﹕ıllı﹐▒﹒◎﹐☆﹒ꕀ﹔➜﹒⪩﹒〇﹐➜﹒★﹕◐﹒％﹐⊂⊃﹒♡﹒ꕀ﹒ᶻz﹒✧﹒˃̵ᴗ˂̵﹕˃ᗜ˂﹒ꕀ﹒ᶻz﹒☆﹔⿴﹒✶﹒ᵔᴗᵔ﹒➜﹒⭔﹕⪩⪨﹐﹢﹐◒﹒⊂⊃﹔♡﹒◍﹒✦﹒⪩⪨﹒▧﹒⟡﹕➜﹐▦﹒✦﹒✶﹐ㄑ﹕ꕀ﹒＞＜﹐ꔠ﹑ꕤ﹒░﹒◖﹒⟡﹒❀﹒→﹒⿴﹒⿻﹒⊞﹒♡﹒ᵔᴗᵔ﹒︴﹒✶﹒⭔﹐𓆩♡𓆪﹒リ﹒Ꮺ﹒キ﹒ꗃ﹒⿶﹒⌓﹒〹﹒⧅﹒◆﹒▽﹒ᐢ..ᐢ﹒⬙﹒⎙﹒◈﹒▣﹒ᶻz﹒⟢﹒ʬʬ﹒⊹﹒✷﹒◉﹒⿸﹒✶﹒❀﹒✷﹒⿻﹒⌇﹒ᵔᴗᵔ﹒◍﹒▿﹒⤸﹒○﹒░﹒⇵﹒☆﹒@﹒˘ᗜ˘﹒⬚﹒✸﹒▧﹒◎﹒♡﹒◜ᴗ◝﹒✸﹒ᵔᴗᵔ﹒✿﹑⟡﹒❀﹒★﹒➔﹒％﹒ᗜ﹔﹒⌗﹒﹪﹒﹒⟢﹒ᵔᴗᵔ﹒✮﹒^..^﹒✵﹒ 🌀⭐️🐚☂️💍💘☔️💭💎👾🌌💜🌙🌟

🌸💫🥛🍪💤🌙🌀🧸🍼💭

🌙💤🍼🧸🧺🥛🍪

💤✉️🏹🌙🍼🥛

🛏️🍼🌸🌺✨💤🧸🐼💭🥛🐇🍪💫⭐🌙

💤🥛🌌🌙☁️💙🧸🛏✨💫

　　　∧∧ 　（　･ω･） 　 ＿|　⊃／(＿＿_　 ／　└-(＿＿＿_／ ￣￣￣￣￣￣￣ 　 ＜,⌒／ヽ-_＿_ ／＜,3/＿＿＿＿／

🎀🍮🦴🐾🥛🌸🧷🧸💭🐱🥄🌙🧁🐇🍪

💙 🤍 ☁️ 💤 🪐 ⭐ 💫 🧸 🌙 🌕

🥛💤✨😴🌛

💫🥛💤⭐🍦🍪🐇🌙🌀🧸🍼📺🍭💭🛏️🧦💭🌟

📼🧸💡🪥💿🩹

☁️🍼🎐💤💫

♡💫🥛💤⭐🍪🌙🌀🧸🍼💭🛏️✰

💤💫💨🤍💌🎐🍼👉🏻🥛👈🏿

💤 🍼 💤 ☁️ 🐶 ☁️ 💤 🍼 💤

🛏️🍼🌸🌺✨💤🧸🐼💭🥛🐇🍪💫⭐🌙🐈‍⬛🐈🐱☕🍩🧁🥨🍫🍓🌼🍥🍵🥐🥯🧋🤎🥖📜🫓

The different types of anesthesia are broadly described as: Local anesthesia (agents, either topical or injectable, given to temporarily block paın in a specific part of the bødy) in which the medication only removes sensation from one part of your bødy, but you are not unconscious. Regional anesthesia (injected agents, to numb a portion of the bødy) General anesthesia (an agent, given either by mask or an IV line, to induce unconsciousness) General anesthesia is highly effective in keeping you unaware of your surgical procedure. Monitored anesthesia care (also known as "twilight sleep") It can be given intravenously (IV, by injection into the vein). The medication works quickly and typically puts you to sleep in under a minute. Medicines administered via the bloodstream begin to take effect quickly, often within minutes. Most people feel very relaxed at the start of IV sedation as the medicines begin to take effect. Many people remember the feeling of relaxation and waking up after the procedure is over but nothing in between. There are different levels of IV sedation, and you may or may not be awake during the procedure. Your anesthesia team will adjust your sedation level throughout the procedure. One other type of anesthesia apart from general is called MAC (monitored anesthesia care), where you are kept sleepy and given paın medication but still breathe independently. Anesthesia can provide sedation ranging from slight (relaxed and mildly sleepy) to deep sleep.

🧸🌙🎧🥛💤🍪💭💫🌀🍼🖇📼☁️

(๑-﹏-๑)୧ ‧₊˚ 🎐 ⋅

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∩――――――∩ || ໒꒰⁠ ྀི ｡◞ ˔ ◟ ꒱ྀི 𐰁ᶻz | ﾉ ￣￣୨୧￣￣＼ ﾉ　 　　 ＼ ＼　　||￣￣ ♡￣￣ || 　 ＼ ﾉ||―――――――||

TRUTH AND NAIL iii Karen felt his weight shifting, his body swaying towards sleep again. “Stay with me, Plankton,” she murmured, her voice a gentle prod to keep his consciousness afloat. He blinked, his eye trying to focus on her face. “Wha...?” he mumbled, his words trailing off like a forgotten melody. Karen's tightened. “You’re okay, Plankton,” she whispered, her voice a gentle caress in the stillness of the room. “You’re just tired from the surgery, that’s all.” But even as she spoke, Plankton’s head lolled to the side, his mouth open slightly, drooling. Karen reached over and wiped it away, her fingers coming back wet. "It's normal for them to nod off like this," the nurse assured Karen with a kind smile. “Let’s walk to your car..” But as they shuffled along, Plankton’s knees buckled, and he slumped against Karen, his mouth falling open in a deep snore. Her arms tightened around his waist, her strength supporting his sudden weakness. "Wha...?" Plankton mumbled, his eye fluttering open, his mind trying to catch up with his surroundings. "You okay?" Karen asked. His head bobbed slightly, nodding in sleepy agreement. But as they shuffled closer to the exit, his knees buckled again, and he was out cold. Karen's grip tightened, keeping him from collapsing. The nurse chuckled softly, "It's okay, Mrs. Plankton. This happens a lot after the anesthesia. Wake up, Mr. Plankton.." But Plankton's snores only grew louder, his head lolling onto Karen's shoulder. Her laugh was a gentle sigh as she looked at his peaceful face, marred only by the occasional dribble of saliva. "Come on, love," Karen whispered, her voice a soft nudge. "Let's get you to the car." With the nurse's help, they managed to make him stir in his sleep. Plankton's eye cracked open, his gaze unfocused and glazed. "Karen?" he murmured, his voice a slurred whisper. Her eyes searched his, the love in them a beacon in the starkness of the hospital corridor. "You're okay, sweetie," she said, her voice a gentle reminder. But Plankton's response was a snore, his head lolling forward again. Karen's grip tightened, his weight leaning heavily on her. "Wake up, Plankton," she whispered, her voice a caress in the air. The nurse chuckled. "It's just the anesthesia," she assured Karen. "Let's get him to the car." Plankton's eye snapped open, his mind fighting to wake up. But each step was a battle against the fog. Karen's arms wrapped around him, her grip firm and loving. His legs threatened to give out, his knees like jelly, but she held him upright. "Come on, darling," she cooed, her voice a beacon through the haze. "Almost there." They made it to the car, Plankton's snores filling the quiet of the parking lot. The nurse opened the back door, and Karen managed to get him sitting upright, his head lolling to one side. "Wha...?" he mumbled, his eye opening a crack. "We're going home," Karen soothed, her voice a soft song. She fastened the seatbelt around him, his limbs heavy and uncooperative. As she drove, Plankton fought to keep his eye open, his head drooping forward before jerking back up with a snort. "You okay back there?" Karen called over her shoulder, her eyes on the road. A faint snore was his only reply, his head lolling against the headrest. She chuckled, a mix of concern and affection, her screen flitting to the rearview mirror. His mouth was still open, a string of drool connecting his bottom lip to his chin. Karen reached back, carefully wiping it away with a tissue. Plankton's face twitched in his sleep, but he remained oblivious to her touch. The car's gentle hum lulled him further, his snores punctuating the silence of the drive.

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Sleep Stages As you are falling asleep, the activity in your body slows down. Stage 1 Also known as NREM, N1, or simply “dozing off stages” is where you experience somnolence, or drowsy sleep. This is the transitional phase. Your brain’s alpha waves turn to theta waves, eyes roll slowly, and muscle tone starts to decrease. Although your body has started to relax, it is unlikely that your facial and throat muscles have relaxed to the point where you are snoring yet. NREM2 stage In this stage all the muscles in your body fully relax. This is where your tongue collapses into your throat and causes the obstruction that result in your snoring. The average non-snoring adult spends about half their sleeping time in this second stage. Unfortunately, snorers spend a lot more time here. Stage 3 During NREM3, delta waves emerge, which are very slow brain waves. This is is the transitional period into the deepest sleep stage. Slow wave sleep is suggested to be the most restful stage. This is a restorative period. This is also the stage where parasomnias occur, such as night terrors, Somniloquy, etc.

ᴵⁿ ʸᵒᵘʳ ᴰʳᵉᵃᵐˢ ⁽ᔆᵖᵒⁿᵍᵉᴮᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ ‘ᴳᵒᵒᵈ ᵐᵒʳⁿⁱⁿᵍ! ᴳᵘᵉˢˢ ʷʰᵃᵗ ᴵ ᵐᵃᵈᵉ ʸᵒᵘʳ ᶠᵃᵛᵒᵘʳⁱᵗᵉ!’ ᴴᵉᵃʳⁱⁿᵍ ᔆᵖᵒⁿᵍᵉᵇᵒᵇˢ ᵛᵒⁱᶜᵉ, ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵐⁱˡᵉᵈ‧ ‘ᴷʳᵃᵇᵇʸ ᴾᵃᵗᵗⁱᵉˢ!’ ‘ᵀᵒ ᵘˢ‧‧’ ‘ᴾˡᵃⁿᵏᵗᵒⁿ?’ ᴷᵃʳᵉⁿ’ˢ ᵛᵒⁱᶜᵉ ⁱⁿᵗᵉʳʳᵘᵖᵗᵉᵈ‧ ᔆᵘᵈᵈᵉⁿˡʸ ᴾˡᵃⁿᵏᵗᵒⁿ ᶠᵉˡᵗ ᵃ ᵗᵃᵖ ᵒⁿ ʰⁱˢ ˢʰᵒᵘˡᵈᵉʳ ᶠʳᵒᵐ ᴷᵃʳᵉⁿ‧ “ᴾˡᵃⁿᵏᵗᵒⁿ!” ᴴᵉ ˢⁿᵃᵖᵖᵉᵈ ᵃʷᵃᵏᵉ, ʳᵉᵃˡⁱˢⁱⁿᵍ ʰᵉ’ˢ ʰᵘᵍᵍⁱⁿᵍ ᵃ ᵖⁱˡˡᵒʷ ᵃⁿᵈ ⁿᵒᵗ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ᵏⁿᵉʷ ⁱᵗ’ˢ ᵗᵒ ᵍᵒᵒᵈ ᵗᵒ ᵇᵉ ᵗʳᵘᵉ ᶠᵒʳ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵗᵒ ˢᵖᵉⁿᵈ ʰⁱˢ ᵗⁱᵐᵉ ᵗᵒᵍᵉᵗʰᵉʳ, ᵐᵃᵏⁱⁿᵍ ᵗʰᵉ ᵐᵒᵘᵗʰ ʷᵃᵗᵉʳⁱⁿᵍ ᵖᵃᵗᵗⁱᵉˢ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ᶠᵒᵘⁿᵈ ʰⁱᵐˢᵉˡᶠ ᵈʳᵒᵒˡⁱⁿᵍ ⁱⁿˢᵗᵉᵃᵈ‧ “ᴶᵘˢᵗ ᵍᵉᵗ…” “ᴵ ᵏⁿᵒʷ; ᴵ’ᵐ ᵘᵖ!” ᴴᵉ ᵗᵒˡᵈ ʰⁱˢ ᶜᵒᵐᵖᵘᵗᵉʳ ʷⁱᶠᵉ‧ ‘ᔆᵖᵒⁿᵍᵉ ᵇᵒᵇ ⁱˢ ᵃ ᵇᵘˢⁱⁿᵉˢˢ ʳⁱᵛᵃˡ ʷʰᵒ ᵐⁱᵍʰᵗ ⁿᵉᵛᵉʳ ᵗᵒ ʰᵃᵛᵉ ᵃ ˡᵃˢᵗⁱⁿᵍ ᶠʳⁱᵉⁿᵈˢʰⁱᵖ’ ᴾˡᵃⁿᵏᵗᵒⁿ ᵗʰᵒᵘᵍʰᵗ‧ ᴴᵉ ᵐⁱⁿᵈˡᵉˢˢˡʸ ʷᵉⁿᵗ ᵗᵒ ᵗʰᵉ ᵏʳᵘˢᵗʸ ᵏʳᵃᵇ ʷⁱᵗʰᵒᵘᵗ ᵃ ᵖˡᵃⁿ ᵒʳ ᵉᵛᵉⁿ ᵐᵒᵗⁱᵛᵃᵗⁱᵒⁿ! ᴴᵉ ʲᵘˢᵗ ˢⁿᵘᶜᵏ ⁱⁿ ᵗʰᵉ ᵇᵃᶜᵏ ʷʰᵉʳᵉ ˢᵖᵒⁿᵍᵉ ᵇᵒᵇ ᵈⁱᵈ ʰⁱˢ ʲᵒᵇ ᵒⁿ ᵗʰᵉ ᵍʳⁱˡˡ‧ “ᵂᵉ ᵃʳᵉ ᵗᵉᵃᵐ ᵏʳᵘˢᵗʸ ᵏʳᵃᵇ‧‧” ˢⁱⁿᵍˢ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ, ⁿᵒᵗ ⁿᵒᵗⁱᶜⁱⁿᵍ ᵗʰᵉ ᵈᵒᵒʳ ᵒᵖᵉⁿᵉᵈ ᵇʸ ᴾˡᵃⁿᵏᵗᵒⁿ‧ ‘ᴳᵉᵗ ᵒᵛᵉʳ ʸᵒᵘʳ ᵖʳⁱᵈᵉ ᵃⁿᵈ ʲᵘˢᵗ ᵃˢᵏ ʰⁱᵐ ᵗᵒ ᵍᵉᵗ ⁱᵗ ᵒᵛᵉʳ ʷⁱᵗʰ! ʸᵒᵘ ʷⁱˡˡ ⁿᵉᵛᵉʳ ᵈᵒ ᵃⁿʸᵗʰⁱⁿᵍ ʲᵘˢᵗ ˢᵗᵃⁿᵈⁱⁿᵍ’ ᴾˡᵃⁿᵏᵗᵒⁿ ʳᵉᵃˡⁱˢᵉᵈ‧ ᴷⁿᵒʷⁱⁿᵍ ʰᵉ ᵐⁱᵍʰᵗ ʲᵘˢᵗ ᵉⁿᵈ ᵘᵖ ᵇᵉⁱⁿᵍ ᵏⁱᶜᵏᵉᵈ ᵒᵘᵗ ᵇᵘᵗ ʳⁱˢᵏⁱⁿᵍ ⁱᵗ, ᴾˡᵃⁿᵏᵗᵒⁿ ʷᵉⁿᵗ ᵗᵒ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ‧ “ᴴᵉʸ, ᵏⁱᵈ…” ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ⁿᵒᵗⁱᶜᵉᵈ ᴾˡᵃⁿᵏᵗᵒⁿ‧ “ʸᵒᵘ ʷᵃⁿⁿᵃ…” “ᴵ ʷⁱˡˡ ⁿᵒᵗ ᶠᵃˡˡ ᶠᵒʳ ᵃ ᵗʳⁱᶜᵏ ᵗᵒᵈᵃʸ, ˢⁱˡˡʸ ᴾˡᵃⁿᵏᵗᵒⁿ!” “ᔆᵖᵒⁿᵍᵉᵇᵒᵇ…” ˢᑫᵘⁱᵈʷᵃʳᵈ ⁱⁿᵗᵉʳʳᵘᵖᵗᵉᵈ‧ “ᴼᶠ ᶜᵒᵘʳˢᵉ ⁱᵗ’ˢ ʸᵒᵘ ᴾˡᵃⁿᵏᵗᵒⁿ; ˢʰᵒᵘˡᵈ ʰᵃᵛᵉ ᵏⁿᵒʷⁿ!” ᴾˡᵃⁿᵏᵗᵒⁿ ˡᵒᵒᵏᵉᵈ ᵘᵖ‧ “ᴵ…” “ᴾˡᵃⁿᵏᵗᵒⁿ ʸᵒᵘ ᵈᵒⁿ’ᵗ ᵇᵉˡᵒⁿᵍ ʰᵉʳᵉ; ᵍᵉᵗ ᵒᵘᵗ!” ᔆᵖᵒⁿᵍᵉ ᵇᵒᵇ ᵖᵒⁱⁿᵗᵉᵈ ʰⁱˢ ˢᵖᵃᵗᵘˡᵃ ᵃᵗ ʰⁱᵐ ᵃˢ ˢᑫᵘⁱᵈʷᵃʳᵈ ᵗʰʳᵉʷ ʰⁱᵐ ᵒᵘᵗ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ⁿᵉᵛᵉʳ ʰᵉᵃʳᵈ ˢᵖᵒⁿᵍᵉ ᵇᵒᵇ ʸᵉˡˡ ⁱⁿ ˢᵘᶜʰ ᵃ ʷᵃʸ‧ “ᴼʰ ᵗʰᵃⁿᵏ ʸᵒᵘ ˢᑫᵘⁱᵈ…” ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵗᵒˡᵈ ˢᑫᵘⁱᵈʷᵃʳᵈ ᵃˢ ᵗʰᵉʸ ʷᵉⁿᵗ ᵇᵃᶜᵏ ᵗᵒ ʷᵒʳᵏ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ʲᵘˢᵗ ˢᵗᵃʸᵉᵈ ʷʰᵉʳᵉ ʰᵉ ˡᵃⁿᵈᵉᵈ ⁿᵉⁱᵗʰᵉʳ ᵍᵒⁱⁿᵍ ᵇᵃᶜᵏ ʰᵒᵐᵉ ⁿᵒʳ ᵗᵒ ᵗʰᵉ ᴷʳᵘˢᵗʸ ᵏʳᵃᵇ‧ ᴴᵉ ˢᵃᵗ ʳᵉˡⁱᵛⁱⁿᵍ ᵗʰᵉ ˢᶜᵉⁿᵉ ⁱⁿ ʰⁱˢ ʰᵉᵃᵈ ᵃˢ ʰᵉ ᶜʳⁱᵉᵈ‧ ᴴᵉ ˡⁱᵏᵉᵈ ʰᵃᵛⁱⁿᵍ ᵗⁱᵐᵉ ᵗᵒ ʰⁱᵐˢᵉˡᶠ ᵃⁿᵈ ᵘˢᵘᵃˡˡʸ ⁿᵉᵛᵉʳ ᶜʳⁱᵉᵈ ᵒᵛᵉʳ ᵃⁿ ᵒᵗʰᵉʳ ᵖᵉʳˢᵒⁿ; ʸᵉᵗ ᴾˡᵃⁿᵏᵗᵒⁿ ʷᵃˢ ˢᵗⁱᶠˡⁱⁿᵍ ʷʰⁱᵐᵖᵉʳˢ ᵃᵗ ‘ʸᵒᵘ ᵈᵒ ⁿᵒᵗ ᵇᵉˡᵒⁿᵍ ʰᵉʳᵉ’ ʳⁱⁿᵍˢ ᵒᵛᵉʳ ᵃⁿᵈ ᵒᵛᵉʳ ᵃᵍᵃⁱⁿ‧ ᴴᵉ’ˢ ᵗʳⁱᵉᵈ ᵗᵒ ᵗʳⁱᶜᵏ ˢᵖᵒⁿᵍᵉ ᵇᵒᵇ ᵇᵉᶠᵒʳᵉ, ᵃⁿᵈ ʰᵉ ᵏⁿᵉʷ ʷʰᵃᵗ ʳⁱˢᵏˢ ᵍᵒⁱⁿᵍ ⁱⁿ‧ ᔆᵗⁱˡˡ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ʰᵃˢ ⁿᵉᵛᵉʳ ᵖᵉʳˢᵒⁿᵃˡˡʸ ʰᵘʳᵗ ʰⁱᵐ ᵃˢ ˢᵘᶜʰ‧ ᴼᶠ ᶜᵒᵘʳˢᵉ, ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵐⁱᵍʰᵗ ᶠᵒⁱˡ ʰⁱˢ ᵖˡᵃⁿˢ ᵃᵗ ᵗⁱᵐᵉˢ, ᵇᵘᵗ ʰᵉ ⁿᵉᵛᵉʳ ᵈⁱᵈ ˢᵒ ʷⁱᵗʰ ˢᵘᶜʰ ᵘᵖˢᵉᵗᵗⁱⁿᵍ‧ ᴺᵒᵗ ᵗᵒ ᵐᵉⁿᵗⁱᵒⁿ ʰᵒʷ ʰᵉ ˡᵒᵒᵏᵉᵈ ᵗᵒ ˢᑫᵘⁱᵈʷᵃʳᵈ ʷⁱᵗʰ ᵃʷᵉ ᵃˢ ʰᵉ ᵏⁱᶜᵏᵉᵈ ᵒᵘᵗ‧ ᵂⁱᵗʰ ᵃ ˢⁱᵍʰ ʰᵉ’ᵈ ᵈᵉᶜⁱᵈᵉᵈ ᵗᵒ ᵍᵉᵗ ᵘᵖ ᵒᶠᶠ ᵗʰᵉ ᵍʳᵒᵘⁿᵈ ᵃⁿᵈ ˡᵉᵃᵛᵉ‧ ᶠᵒʳ ᵍᵒᵒᵈ‧ ᴬᵗ ᶜˡᵒˢⁱⁿᵍ ᵗⁱᵐᵉ, ˢᵖᵒⁿᵍᵉᵇᵒᵇ ˢᵃʷ ᴷᵃʳᵉⁿ ᶜᵒᵐᵉ ᵘᵖ ᵗᵒ ʰⁱᵐ‧ “ᴼʰ ᔆʰᵉˡᵈᵒⁿ…” ˢʰᵉ ᶜᵃˡˡᵉᵈ ᵒᵘᵗ ᶠᵒʳ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ‧ “ᴷᵃʳᵉⁿ, ʷʰᵃᵗ…” ᔆʰᵉ ʰᵉˡᵈ ᵘᵖ ᵃ ⁿᵒᵗᵉ ʷʰⁱᶜʰ ˢᵃʸˢ ‘ᴵ ʰⁱᵗ ʳᵒᶜᵏ ᵇᵒᵗᵗᵒᵐ ˢⁱⁿᶜᵉ ᴵ ᵈᵒ ⁿᵒᵗ ˢᵉᵉᵐ ᵗᵒ ᵇᵉ ʷᵃⁿᵗᵉᵈ‧ ᴵ ʲᵘˢᵗ ᵈᵒ ⁿᵒᵗ ᵇᵉˡᵒⁿᵍ ˢᵒ ᴵ ᵗʰᵒᵘᵍʰᵗ ⁱᵗ ᵇᵉˢᵗ‧ ᴺᵒ ⁿᵉᵉᵈ ᵗᵒ ᶠᵉᵉˡ ˢᵗʳᵉˢˢᵉᵈ ᵇʸ ᵐᵉ ᵃⁿʸ ˡᵒⁿᵍᵉʳ; ᴾˡᵃⁿᵏᵗᵒⁿ’ ᔆᵃⁱᵈ ᵗʰᵉ ⁿᵒᵗᵉ‧ “ᴴᵉ ˡᵉᶠᵗ ᵗᵒ ᵗʰᵉ ᴷʳᵘˢᵗʸ ᵏʳᵃᵇ ᵃⁿᵈ ᴵ ʰᵃᵛᵉⁿ’ᵗ ʸᵉᵗ ᴾˡᵃⁿᵏᵗᵒⁿ ˢⁱⁿᶜᵉ! ᴰᵒ ʸᵒᵘ ᵏⁿᵒʷ ʷʰᵉʳᵉ ʰᵉ ᵐⁱᵍʰᵗ ᵇᵉ?” “ᴵ’ᵐ ˢᵒ ˢᵒʳʳʸ; ᴵ ᵈᵒⁿ’ᵗ ᵏⁿᵒʷ‧‧” ˢᵖᵒⁿᵍᵉ ᵇᵒᵇ ᵗᵒˡᵈ ʰᵉʳ ᵇᵉᶠᵒʳᵉ ˢʰᵉ ʷᵉⁿᵗ ᵇᵃᶜᵏ ⁱⁿ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ‧ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ʳᵉᵐᵉᵐᵇᵉʳᵉᵈ ᵗʰᵉ ᵈᵃʸ’ˢ ᵉᵛᵉⁿᵗˢ ᵃˢ ʰᵉ ʳᵉᵃˡⁱˢᵉᵈ ʰᵒʷ ᵇᵃᵈˡʸ ʰᵉ ᵗʳᵉᵃᵗᵉᵈ ᴾˡᵃⁿᵏᵗᵒⁿ‧ ‘ᵂᵃⁱᵗ, ʰᵉ ᵖᵘᵗ ʳᵒᶜᵏ ᵇᵒᵗᵗᵒᵐ…’ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ʳᵃⁿ ᵈᵒʷⁿ ᵗᵒ ᵗʰᵉ ᵇᵘˢ ˢᵗᵒᵖ‧ ᴿᵒᶜᵏ ᴮᵒᵗᵗᵒᵐ’ˢ ᵃⁿ ᵘⁿˢᵉᵗᵗˡⁱⁿᵍ ᵖˡᵃᶜᵉ ᵗᵒ ᵇᵉ, ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵏⁿᵉʷ‧ ᴴᵉ ᵉᵛᵉⁿᵗᵘᵃˡˡʸ ˢᵃʷ ᴾˡᵃⁿᵏᵗᵒⁿ ᵒⁿ ᵗʰᵉ ᵍʳᵒᵘⁿᵈ‧ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᶠᵉˡᵗ ˢᵒ ᵇᵃᵈ ᶠᵒʳ ʰⁱᵐ, ʰᵉᵃʳⁱⁿᵍ ʰⁱˢ ˢᵒᶠᵗ ᶜʳⁱᵉˢ ᵃˢ ʰᵉ ᵏᵉᵖᵗ ˢᵒᵇᵇⁱⁿᵍ‧ “ᴼʰ, ᴾˡᵃⁿᵏᵗᵒⁿ‧‧” ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵍᵃˢᵖᵉᵈ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ʷᵃˢ ᶜᵒᵐᵖˡᵉᵗᵉˡʸ ʲᵘˢᵗ ᵒᵛᵉʳʷʰᵉˡᵐᵉᵈ ᵃˢ ʰⁱˢ ᵉᵐᵒᵗⁱᵒⁿˢ ᵗᵒᵒᵏ ᵒᵛᵉʳ, ʰⁱˢ ᵒⁿˡʸ ᵐᵒᵛᵉᵐᵉⁿᵗ ᵇᵉⁱⁿᵍ ᵇᵃʳᵉˡʸ ʳᵒᶜᵏⁱⁿᵍ ᵇᵃᶜᵏ ᵃⁿᵈ ᶠᵒʳᵗʰ ᵃˢ ʰᵉ ʷʰⁱᵐᵖᵉʳᵉᵈ‧ “ᴵ’ᵐ ˢᵒʳʳʸ!” ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ʳᵃⁿ ᵗᵒ ʰⁱᵐ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵃʷ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ˡᵉᵃⁿ ᵒᵛᵉʳ ʰⁱᵐ‧ “ᴵ ʷᵃˢ ʷʳᵒⁿᵍ‧ ᴵ ʷᵃˢ ᵇᵘˢʸ, ʷʰⁱᶜʰ ⁱˢⁿ’ᵗ ᵃⁿʸ ᵉˣᶜᵘˢᵉ ᵗᵒ ʰᵘʳᵗ ʸᵒᵘ‧ ʸᵒᵘ ᵐᵃᵏᵉ ᵐᵉ ʰᵃᵖᵖʸ; ᵒ ˢᵒ ʰᵃᵖᵖʸ!” “ᴵ ᵈᵒⁿ’ᵗ ᵇᵉˡᵒⁿᵍ…” “ʸᵒᵘ ᵇᵉˡᵒⁿᵍ ᵃˢ ᵐᵘᶜʰ ᵃˢ ᵃⁿʸ ᵒᶠ ᵘˢ‧ ᴵ’ᵈ ʳᵃᵗʰᵉʳ ʸᵒᵘ ᶜᵒᵐᵉ ᵇᵃᶜᵏ, ᵇᵉᶜᵃᵘˢᵉ ᴵ ᶜᵃⁿⁿᵒᵗ ⁱᵐᵃᵍⁱⁿᵉ ˡⁱᵛⁱⁿᵍ ⁱⁿ ᵃⁿʸ ᵖˡᵃᶜᵉ ʷⁱᵗʰᵒᵘᵗ ʸᵒᵘ ᴾˡᵃⁿᵏᵗᵒⁿ! ᵂᵉ ⁿᵉᵉᵈ ʸᵒᵘ; ᴵ ⁿᵉᵉᵈ ʸᵒᵘ‧‧” ᴾˡᵃⁿᵏᵗᵒⁿ ˡᵉᵗ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ˢⁱᵗ ʷⁱᵗʰ ʰⁱᵐ ᵒⁿ ᵗʰᵉ ʳⁱᵈᵉ ʰᵒᵐᵉ, ᵉˣᵖˡᵃⁱⁿⁱⁿᵍ ʷʰʸ ʰᵉ ʷᵉⁿᵗ ᵗᵒ ᵗʰᵉ ᵏʳᵘˢᵗʸ ᵏʳᵃᵇ ⁱⁿ ᵗʰᵉ ᶠⁱʳˢᵗ ᵖˡᵃᶜᵉ‧ ᴴᵉ ᶠᵉˡᵗ ʳᵉˡᵃˣᵉᵈ ᵃⁿᵈ ᵉᵛᵉⁿ ᵈʳᵒʷˢʸ ᵃˢ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ʰᵉˡᵈ ʰⁱᵐ ᶜˡᵒˢᵉ ᵒⁿ ᵗʰᵉ ᵇᵘˢ ʳⁱᵈᵉ‧ ᴷᵃʳᵉⁿ ˢᵃʷ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵃⁿᵈ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ ᶜᵒᵐᵉ ⁱⁿ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ‧ ᴴᵉ ᶠᵉˡᵗ ˢˡᵉᵉᵖʸ ᵇᵘᵗ ᵃˡˢᵒ ᶜᵒⁿᵗᵉⁿᵗ ʷⁱᵗʰ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ⁿᵒʷ ᵇᵉⁱⁿᵍ ᵒⁿ ʰⁱˢ ˢⁱᵈᵉ‧

28 Apr 2026 Drooling occurs when excess saliva spills out of the mouth. There are a few reasons for drooling in your sleep, including side sleeping and mouth breathing during sleep. Additionally, the swallow reflex occurs much less during sleep than during waking hours which can lead to a buildup of saliva. While we sleep, our swallowing reflexes rest just like muscles and all other body parts, including the face. During this resting period saliva could accumulate and escape through the sides of our mouths. Less swallowing leads to more saliva in the mouth, which can come out during your sleep as drool. Because drool is your saliva escaping your mouth unintentionally, it's more likely to happen when you're not consciously able to control it, like when you're sleeping. When you sleep, all of the muscles in your body become more relaxed. Sometimes, your sleeping position is to blame.

When you are getting a massage, your body is going into a state of relaxation. This can be a very calming and peaceful experience. As your muscles relax and your body releases tension, you can start to drift off into a state of slumber. These techniques can help to release tension and stress, allowing the body to reach a state of deep relaxation. The combination of these techniques can help to create an environment that is conducive to sleep. The massage itself can also be very calming and soothing. The gentle pressure, combined with the warmth of the massage therapist's hands, can help to relax the body and mind. When a client falls asleep while being touched by another person it indicates a deep level of trust and relaxation.

prospectkiss Sleepy intimacy is one of my favorite things, and I think the last point is why - it’s all about trust. Trusting someone enough to let your guard down. To lower your defenses. To be vulnerable. That kind of trust is not always given easily, which is what makes sleepy intimacy so heartwarming.

08 January 2006 Laughing gas is nitrous oxide, and it acts as an anaesthetic-type agent. It makes your braın feel a bit woozy in the same way that alcohol does. As a result, if you take some laughing gas, you fell a little bit drınk and a little bit cheerful. If you have enough of it, you start to feel a little bit sleepy, but it's very good at paın kılling. If you're having an operation, it's sometimes used with other anaesthetics to ķíľľ paın and make you more comfortable. It is different from anesthesia, where you essentially go to sleep for a procedure. Although people can sometimes feel sleepy while taking nitrous oxide, they will still be able to respond but with decreased alertness temporarily. Sometimes one might start feeling sleepy or groggy as if you really want to fall asleep; you may be pretty out of it when you come to consciousness.

General anaesthetics can affect your memory, concentration and reflexes for a day or two, so it’s important for a responsible adult to stay with you for at least 24 hours after your operation, if you’re allowed to go home. Most people are awake in the recovery room immediately after an operation but remain groggy for a few hours after. You’ll probably feel groggy and a bit confused. You may continue to be sleepy, and your judgment and reflexes may take time to return to normal.

NREM Stage N1 This stage of non-REM sleep is the typical transition from wakefulness to sleep and generally lasts only a few minutes. Stage N1 is the lightest stage of sleep; patients awakened from it usually don’t perceive that they were actually asleep During this stage: Eye movements are typically slow and rolling. heartbeat and breathing slow down muscles begin to relax you produce low amplitude mixed frequencies waves in the theta range (4 to 7 Hz) NREM Stage N2 This next stage of non-REM sleep comprises the largest percentage of total sleep time and is considered a lighter stage of sleep from which you can be awakened easily. This is the stage before you enter deep sleep. During this stage: heartbeat and breathing slow down further no eye movements body temperature drops Sleep spindles and K-complexes are two distinct brain wave features that appear for the first time NREM Stage N3 This final stage of non-REM sleep is the deepest sleep stage. Stage N3 sleep is known as slow-wave, or delta, sleep. Your body performs a variety of important health-promoting tasks in this final non-REM stage. During this stage: arousal from sleep is difficult heartbeat and breathing are at their slowest rate no eye movements body is fully relaxed delta brain waves are present tissue repair and growth, and cell regeneration occurs immune system strengthens REM Stage R There are two phases of REM sleep: phasic and tonic. Phasic REM sleep contains bursts of rapid eye movements, while tonic REM sleep does not. Stage R occurs about 90 minutes after you fall asleep, and is the primary “dreaming” stage of sleep. Stage R sleep lasts roughly 10 minutes the first time, increasing with each REM cycle. The final cycle of stage R may last roughly between 30 to 60 minutes. During this stage: eye movements become rapid during phasic REM breathing and heart rate increases and become more variable muscles become paralyzed, but twitches may occur brain activity is markedly increased When you fall asleep at night, you cycle through all of these stages of sleep multiple times — roughly every 90 minutes or so.

Three broad categories of anesthesia exist: General anesthesia suppresses central nervous system activity and results in unconsciousness and total lack of sensation, using either injected or inhaled dr*gs. General anesthesia (as opposed to sedation or regional anesthesia) has three main goals: lack of movement (paralƴsıs), unconsciousness, and blunting of the stress response. Sedation suppresses the central nervous system to a lesser degree, inhibiting both anxıety and creation of long-term memories without resulting in unconsciousness. Sedation (also referred to as dissociative anesthesia or twilight anesthesia) creates hypnotic, sedative, anxiolytic, amnesic, anticonvulsant, and centrally produced muscle-relaxing properties. From the perspective of the person giving the sedation, the patıents appear sleepy, relaxed and forgetful, allowing unpleasant procedures to be more easily completed. From the perspective of the subject receiving a sedative, the effect is a feeling of general relaxation, amnesia (loss of memory) and time pass1ng quickly. Regional and local anesthesia block transmission of nerve impulses from a specific part of the bødy. Depending on the situation, this may be used either on it's own (in which case the individual remains fully conscious), or in combination with general anesthesia or sedation. When paın is blocked from a part of the bødy using local anesthetics, it is generally referred to as regional anesthesia. There are many types of regional anesthesia either by ınjectıons into the tissue itself, a vein that feeds the area or around a nerve trunk that supplies sensation to the area. The latter are called nerve blocks and are divided into peripheral or central nerve blocks. Local anesthesia is simple infiltration by the clinician directly onto the region of interest (e.g. numbing a tooth for dental work). Peripheral nerve blocks use dr*gs targeted at peripheral nerves to anesthetize an isolated part of the bødy, such as an entire limb. Neuraxial blockade, mainly epidural and spinal anesthesia, can be performed in the region of the central nervous system itself, suppressing all incoming sensation from nerves supplying the area of the block. Most general anaesthetics are ınduced either intravenously or by inhalation. Anaesthetic agents may be administered by various routes, including inhalation, ınjectıons (intravenously, intramuscular, or subcutaneous) Agent concentration measurement: anaesthetic machines typically have monitors to measure the percentage of inhalational anaesthetic agents used as well as exhalation concentrations. In order to prolong unconsciousness for the duration of surgery, anaesthesia must be maintained. Electroencephalography, entropy monitoring, or other systems may be used to verify the depth of anaesthesia. At the end of surgery, administration of anaesthetic agents is discontinued. Recovery of consciousness occurs when the concentration of anaesthetic in the braın drops below a certain level (this occurs usually within 1 to 30 minutes, mostly depending on the duration of surgery) The duration of action of intravenous induction agents is generally 5 to 10 minutes, after which spontaneous recovery of consciousness will occur. Emergence is the return to baseline physiologic function of all organ systems after the cessation of general anaesthetics. This stage may be accompanied by temporary neurologic phenomena, such as agitated emergence (acute mental confusion), aphasia (impaired production or comprehension of speech), or focal impairment in sensory or motor function.

6/6/10 Perhaps your dentist has recommended you have your wisdom teeth removed. IV sedation allows patients to nap during the surgery. The anesthesia medications are given through the IV line and you’ll feel quite tired and sleepy. Once you are completely asleep and comfortable, the surgeon places local anesthesia to numb the extraction areas. A rubber bite block helps to support your jaw during surgery and also keeps your mouth open if you are being sedated. Anesthesia medications are given as needed to make sure you remain asleep and comfortable. If IV sedation was administered, you will awaken shortly after surgery and be escorted to the recovery room. Your mouth will feel numb from the local anesthesia which will help keep you comfortable and pain free. At end of surgery, you will awake to a tap on your shoulder and a gentle voice. The surgeon will reassure you that surgery is finished and everything went well. Monitors and IV are removed and you are escorted to the recovery room. A few minutes later, your loved ones can keep you company as you recover from the anesthesia. During this time, you will become increasingly awake and alert and gradually be able to standup by your self. You are then escorted to the car.

Sedation Today, physicians have many ways to make sure their patıents are as comfortable as possible during surgery or procedures for diagnosing medical conditions. One common type of pain control is called sedation, which relaxes you and sometimes makes you fall asleep. Sedation, also known as monitored anesthesia care, conscious sedation, or twilight sedation, typically is used for minor surgeries or for shorter, less complex procedures, when an injection of local anesthetic isn’t sufficient but deeper general anesthesia isn’t necessary. Depending on the procedure, the level of sedation may range from minimal (you’ll feel drowsy but able to talk) to deep (you probably won’t remember the procedure). What are the levels of sedation? The level of sedation a patient experiences depends on several factors, including the type of procedure you’re having and how your body responds to anesthesia. Your age, medical condition, and health habits may also affect the type of anesthesia you’ll receive. Regardless of the level of sedation, it’s important that an anesthesiologist be involved in your anesthesia care. An anesthesiologist is a medical doctor who specializes in anesthesia, paın management, and critical care medicine. That can happen if you are sedated to a point where you are confused or fall asleep and snore. For some procedures, you may receive medication that makes you sleepy and keeps you from feeling pain. There are different levels of sedation — some patients are drowsy, but they are awake and can talk; others fall asleep and don’t remember the procedure. The main levels of sedation are: Minimal – Minimal sedation will help you relax, but you will likely be awake. You’ll understand questions your doctor is asking and be able to answer as well as follow directions. This level of sedation is typically used when your doctor needs you to be involved in the procedure. Moderate – You will feel drowsy and may even fall asleep during the procedure. You may or may not remember some of the procedure. Deep – You won’t actually be unconscious, but you’ll sleep through the procedure and probably will have little or no memory of it. How does general anesthesia work? Under general anesthesia, you will be unconscious and unaware of what is happening. General anesthesia keeps you unconscious during the entire procedure. General anesthesia causes you to lose consciousness. General anesthesia is medicine that is administered by an anesthesiologist, a medical doctor, through a mask or an IV placed in the vein. While the anesthesia is working, you will be unconscious, and many of your body’s functions will slow down or need help to work effectively. During surgery, the anesthesiologist will monitor your vital signs to make sure they are normal and steady while you remain unconscious and free of paın. Once your surgery is complete, your anesthesiologist will reverse the medication and be with you as you return to consciousness and wake up, continually monitoring your breathing, circulation, and oxygen levels. It may take a day or two for the anesthesia medication to completely leave your system, so you could be sleepy, and your reflexes and judgment can be affected by Postoperative delirium – Confusion when regaining consciousness after surgery.

Mental confusion, also called delirium, is a change in a person’s awareness. Confusion affects how a person thinks, sees the world around them, and remembers things. The main signs of mental confusion or delirium are sudden changes in awareness. A person with confusion or delirium might suddenly get very sleepy and unaware of their surroundings or act very upset. Hypoactive, or low activity. Acting sleepy or withdrawn and "out of it." Hyperactive, or high activity. Acting upset, nervous, and agitated. Mixed. A combination of hypoactive and hyperactive confusion. The main symptom is a change in general awareness and consciousness. This may include: A shorter attention span Trouble remembering things, writing, or finding words Speech and thoughts that do not make sense Not knowing where they are, what day it is, or other facts Mixing up day and night and difficulty sleeping Personality changes, restlessness, anxiety, depression, or irritability Seeing things that others do not (hallucinating) or believing things that are not really happening (delusions)

General anaesthesia is a state of controlled unconsciousness. During a general anaesthetic, medicines are used to send you to sleep, so you're unaware of surgery and do not move or feel pain while it's carried out. The anaesthetic should take effect very quickly. You'll start feeling lightheaded, before becoming unconscious within a minute or so. The anaesthetist will stay with you throughout the procedure. They'll make sure you continue to receive the anaesthetic and that you stay in a controlled state of unconsciousness. The anaesthetist will be by your side the whole time you're asleep, carefully monitoring you, and will be there when you wake up. The main differences between sedation and general anaesthesia are: your level of consciousness the need for equipment to help support your breathing possible side effects. With minimal and moderate sedation, you feel comfortable, sleepy and relaxed. You may drift off to sleep at times, but will be easy to wake. With general anaesthesia, you are completely unaware and unconscious during the procedure. Deep sedation is between the two. There are three different levels of intravenous sedation. They are called ‘minimal’, ‘moderate’ (sometimes also called conscious sedation) and ‘deep’ sedation. However, the levels are not precise and depend on how sensitive a patient is to the medication used. After your operation, the anaesthetist will stop the anaesthetic and you'll gradually wake up. General anaesthetics can affect your memory, concentration and reflexes. You may feel hazy or groggy as you come round from the general anaesthetic. The sedation medicine or anaesthetic can make some patients slightly confused and unsteady after their treatment. Importantly, it can affect their judgement so they may not be able to think clearly. It is very common to feel drowsy and less steady on your feet. It is common for sedation to affect your judgement and memory for up to 24 hours.

1. Minimal sedation (anxiolysis) 1. 2. Moderate sedation (conscious sedation) 2. 3. Deep sedation 3. 1.You will have a small amount of a sedative 2.You will have a little more sedative 3.You will have a higher dose of one or more sedatives 1.You will feel relaxed and less worried by what is happening around you 2.You will feel very relaxed and sleepy 3.You will sleep during most of your treatment 1.You will be awake and able to talk normally 2.You will be sleepy but can talk normally and follow simple instructions if asked 3.You will sleep and be unlikely to talk during most of your treatment 1.You are likely to remember having your treatment, but not all the detail 2.You may remember some parts of your treatment 3.You are unlikely to remember much of your treatment – the level of sedation will be adjusted as needed 1.Minimal sedation should not affect your breathing 2.Moderate sedation should not affect your breathing 3.Your breathing may slow down. Your sedationist will monitor and help if needed. What are the benefits if sedation is an option for your treatment? Sedation works quickly and the dose can be adjusted so you get just the right amount. It allows you to be relaxed during your treatment. You may not remember much about your treatment afterwards. For some procedures, it is possible to give sedation instead of a general anaesthetic, which may be helpful for patients with some medical problems. What are the alternatives to sedation? A general anaesthetic: you will be fully unconscious throughout and will have no memory of the procedure. Local anaesthetic without any sedation: you will be fully awake during your treatment, but will be comfortable. A screen can be placed to stop you seeing the procedure. When we asked some patients what it felt like, some answers were: ‘I felt very spaced out and dreamy.’ ‘I thought I had been awake during it all, but I must have drifted off at times as suddenly it was an hour later.’ ‘I felt really relaxed and happy.’ ‘It was weird – I felt very detached from what was happening around me.’