.

Stage 2 is
the stage of excitement.   During this period, there is a variety of reactions involving
muscular activity and delirium. At this stage, the vital   signs   show   evidence   of
physiological stimulation.    It  is  important  to  remember  that during   this   stage   the   patient
may   respond violently to very little stimulation (fig. 2–1).

Stage 3 is called the surgical or operative stage. There  are  four  levels  of  consciousness  (also
called   planes)   to   this   stage. It   is   the responsibility     of     the     anesthetist     or anesthesiologist
to  determine  which  plane  is optimal for the procedure.  The determination is made according
to specific tissue sensitivity