Abstract: In one embodiment, prior to undergoing surgery, a patient is trained in the use of an anesthesia-awareness detection (AAD) system to produce an observable output by attempting to move a muscle. The AAD system includes an electromyographic (EMG) signal monitor. While undergoing surgery, the patient is anesthetized with a sedative and a paralytic. During surgery, if the surgical team wishes to asses the consciousness state or communicative ability of the patient, then the surgical team asks the patient to move the muscle. If the patient is unable to speak due to the paralytic but is aware and attempts to comply, then the attempt is detected by the AAD system, which provides a corresponding output to inform the surgical team, which may take appropriate action to ask additional questions of the patient and/or address the patient's anesthesia awareness.