Orthostatic circulatory disturbances during verticalization in post-comatose patients after severe brain damages
نویسندگان
چکیده
منابع مشابه
Clinical Diagnosis of Post-operative Circulatory Disturbances
THE development of biochemistry and biophysics have in later years given us important tools for estimating the efficiency of circulation and ventilation; we can estimate the oxygenation saturation or the oxygen tension, the pH, bicarbonate and the carbon dioxide tension by punctioning arteries and veins. We can also measure the blood pressure in arteries and veins with accuracy by direct puncti...
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We review the interest of cognitive event-related potentials (ERPs) in comatose, vegetative, or minimally conscious patients. Auditory cognitive ERPs are useful to investigate residual cognitive functions, such as echoic memory (MMN), acoustical and semantic discrimination (P300), and incongruent language detection (N400). While early ERPs (such as the absence of cortical responses on somatosen...
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A comatose patient required a tracheostomy. His Glasgow Coma Score was 4 and he was intubated with mydriatic and isochoric pupils, without corneal and light reflexes. Two previous EEGs showed signs of severe and diffuse encephalopathy (arreactive delta and theta rhythms) and there were no somatosensory evoked potentials recordable at the scalp. When the tracheostomy procedure was carried out, t...
متن کاملEffectiveness of a Very Early Stepping Verticalization Protocol in Severe Acquired Brain Injured Patients: A Randomized Pilot Study in ICU
BACKGROUND AND OBJECTIVE Verticalization was reported to improve the level of arousal and awareness in patients with severe acquired brain injury (ABI) and to be safe in ICU. We evaluated the effectiveness of a very early stepping verticalization protocol on their functional and neurological outcome. METHODS Consecutive patients with Vegetative State or Minimally Conscious State were enrolled...
متن کاملPatient transport and brain oxygen in comatose patients.
OBJECTIVE Transport of critically ill intensive care unit patients may be hazardous. We examined whether brain oxygen (brain tissue oxygen partial pressure [PbtO2]) is influenced by transport to and from a follow-up head computed tomography (transport head computed tomography [tHCT]) scan. METHODS Forty-five patients (24 men, 21 women; Glasgow Coma Scale score < or =8; mean age, 47.3 +/- 19.0...
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ژورنال
عنوان ژورنال: Physical and rehabilitation medicine, medical rehabilitation
سال: 2020
ISSN: 2658-6843
DOI: 10.36425/rehab25748