As I was being prepped for my third knee surgery, my doctor asked if I had any problems with anesthesia. I told him about the memory loss after my first surgery. My friends who were accompanying me, and had been at my second knee surgery, started mumbling "um, huh, well, oh, actually". It turns out that after my second knee surgery, when the surgeon was giving me a summary of how the surgery went, he told me he botched up my knee, and I proceeded to make very coherent and precisely detailed threats against his life. (The threats were bad enough that the surgeon considered bringing security into the recovery area and restraining me. In the end, my friends, including a combat vet, convinced the doctor that I'm not actually a violent person and agreed to restrain me if I actually became violent.) Again, I have absolutely no memory of this!
It seems to me like the internal, autobiographic self being disabled, and then upon awakening this self immediately says "wait, discontinuity in the recording ... where was I?" and this feeds back into the rest of the brain creating the confusion.
He wasn't confused the moment before, because his autobiographical self wasn't recording.
Maybe we're just the tape recorder?
Clearly though, this guy is still "conscious" - it seems like a situation we don't have quite the correct terminology to describe.
The trick, seemingly is manipulating the focus of awareness to convince the subconscious decision-making apparatus to make different decisions, even though all we really have control of is our awareness.
"Hey, I'm awake! That was easy."
"You've been awake for two hours."
"...Oh. Huh."