The permanent vegetative state: practical guidance on diagnosis and management

The permanent vegetative state: practical guidance on diagnosis and management.

Patients who survive catastrophic brain damage may be left permanently unaware—in the permanent vegetative state. Many doctors are likely to manage these patients at some point in their career. The diagnosis has been the subject of reports prepared by official bodies. It has been defined as “a clinical condition of unawareness of self and environment in which the patient breathes spontaneously,...

The vegetative state: guidance on diagnosis and management.

Drug induced arousal from the permanent vegetative state.

BACKGROUND Zolpidem is an omega 1 specific indirect GABA agonist that is used for insomnia, but may have efficacy in brain damage. The long term efficacy of zolpidem in the permanent vegetative state is described in three patients. METHOD Two motor vehicle accident patients and one near drowning patient, all of them in the permanent vegetative state for at least three years, were rated accord...

Practical guidance to insulin management.

The practical guidance to insulin management is a simple tool for health care providers, particularly primary care physicians (PCPs). Developed by experts in diabetes care at an international meeting, it aims to help physicians make key decisions to optimize insulin management and decrease long-term morbidity risk. With a growing role for PCPs in type 2 diabetes, the practical guidance focuses ...

Practical guidance on heart failure diagnosis and management in primary care: recent EPCCS recommendations.

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