PURPOSE to describe the characteristics of the color density spectral array (CDSA) of bilateral bispectral index (b-BIS) monitoring system in patients with comatose nonconvulsive status epilepticus (NCSE). We hypothesized that CDSA could be helpful for monitoring NCSE in critically subjects if continuous EEG (cEEG) is not available. METHODS we retrospectively analyzed comatose patients admitt...

OBJECTIVE Several randomized controlled trials have suggested that mild induced hypothermia may improve neurologic outcome in comatose cardiac arrest survivors. This systematic review of randomized controlled trials was designed to determine if mild induced hypothermia improves neurologic outcome, decreases mortality, or is associated with an increased incidence of adverse events. DATA SOURCE...

When a comatose patient experiences a seizure event, his or her healthcare provider’s main concern is the stabilization of the patient. However, it is important to provide protection to the oral structures to prevent severe damage from reflex grinding, masticating, and gnawing. There are several appliances available for this necessary protection but these are often inaccessible in developing co...

In this issue of the Journal, Most et al. [1] attempt to give further insight into the dilemma of indications to surgical repair of acute type A aortic dissection (AADA) in patients presenting with pre-operative neurological dysfunction. The topic has been the focus of numerous institutional and registry reports in the past [2–4]. Although a formal consensus has not yet been reached, there is w...

Purpose: The use of therapeutic hypothermia (TH) has increased in the treatment of comatose victims of cardiac arrest, traumatic brain injury, refractory dysrhythmias, neonatal encephalopathy and asphyxia, near-drowning and hemorrhagic shock. The purpose of this study was to ascertain the level of understanding of TH use for comatose victims of cardiac arrest among healthcare providers in two d...

Objective. To test the value of quantifiable electrical stimuli as a reliable method to assess electroencephalogram reactivity (EEG-R) for the early prognostication of outcome in comatose patients. Methods. EEG was recorded in consecutive adults in coma after cardiopulmonary resuscitation (CPR) or stroke. EEG-R to standard electrical stimuli was tested. Each patient received a 3-month follow-up...

OBJECTIVE In patients who remain in a coma after cardiopulmonary resuscitation (CPR), the bilateral absence of cortical N20 responses of median nerve somatosensory evoked potentials (SSEP) 24 hours after admission invariably correlates with a poor neurologic outcome. Nowadays, CPR patients are treated with mild hypothermia, with simultaneously administered sedative drugs, hampering clinical neu...

PurposeThis research aimed to determine the effectiveness of voice stimulus on level consciousness, physiological parameters and behavioural response comatose patients in a tertiary care hospital Udupi district, Karnataka, India.MethodsA randomised control trial was undertaken with 20 patients, 10 each group. The participants intervention group were provided their close relative for 3 times day...