Consciousness often persists even when unresponsiveness occurs. In two experiments involving 76 healthy males, brain activity was measured during varying states of consciousness induced by propofol and dexmedetomidine (n = 39) and during sleep-deprived wakefulness and non-REM sleep (n = 37). Most participants reported internally generated experiences while unresponsive. Key brain regions, including the thalamus and cingulate cortices, were found critical for consciousness, showing consistent activity patterns regardless of anesthetic type or sleep state, highlighting a core network essential for conscious awareness.
Subjective experiences can occur even when a person appears unresponsive under sedation. In a nonsurgical setting, participants given dexmedetomidine, propofol, sevoflurane, or xenon recalled having subjective experiences in almost 60% of sessions after regaining responsiveness. During dexmedetomidine sessions, such experiences were linked to shallower sedation depth as measured by an EEG-based monitor. The findings indicate that unresponsiveness does not guarantee absence of consciousness, and studies on phenomenal consciousness under anesthetics should assess subjective states through post-recovery interviews.