Original sentence: Muscle paralysis does not typically interfere with the functioning of the autonomic nervous system, this will result in signs such as an increased heart rate (tachycardia) and blood pressure (hypertension), as well as dilation of the pupils (mydriasis), sweating (diaphoresis), and the formation of tears (lacrimation) in response to pain.Therefore, even though the patient may not be able to directly signal their distress, they may exhibit signs of awareness
Edited sentence: A patient who is paralysed but awake will usually have a functioning autonomic nervous system, which will result in signs such as increased heart rate and blood pressure (tachycardia and hypertension), as well as dilation of the pupil (mydriasis), sweating, and the formation of tears (lacrimation) in response to pain.Therefore, even although the patient may not be able to directly signal their distress, there are signs of awareness which normal clinical vigilance would be expected to pick up