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Anesthesiology

Anesthesiology June 9, 2026 DOI: 10.1097/aln.0000000000006187 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Feasibility study Peer reviewed
Interventions standardized propofol-based electroencephalography-guided emergence bundle
Keywords Anesthesiology Propofol Dream Protocol science Clinical practice Mental state Health care Cover algebra
Key points A standardized propofol-based, electroencephalography-guided emergence bundle can be integrated into routine care to facilitate dreaming during anesthesia, with assessment of adherence, dream recall, patient experience, and safety.

Abstract

ON THE COVER: Dreaming during anesthesia is common and may have mental health benefits. However, systematic research on its incidence and outcomes in clinical settings remains limited. In this issue of Anesthesiology, Sikka et al. implemented a standardized propofol-based, electroencephalography-guided emergence bundle to facilitate a preemergence state conducive to dreaming, integrating it into routine care to assess adherence, dream recall, patient experience, and safety. In an accompanying editorial, Palanca and Sleigh discuss dreaming under general anesthesia. Cover illustration: A. Johnson, Vivo Visuals Studio. Sikka et al.: Feasibility of a Multicomponent Protocol to Promote Dreaming during Surgical Anesthesia, p. 21 Palanca and Sleigh: Protocolizing Propofol Emergence: Turning “Milk of Amnesia” into Designer Dreams?, p. 1