Estupor Y Coma Plum Posner Pdf 29l
Estupor Y Coma Plum Posner Pdf 29l
A characteristic effect of sucrose on comas is the prolongation of the period of recovery of the state of coma. This should reduce the severity of the injury. The clinical evidence of a post-traumatic state is increased, along with the need for better established treatment algorithms. Treatment with high sucrose may cause hypernatraemia.
{
- persistent vegetative state (PSVS):
- a period of coma lasting for at least 1 week
- there is evidence of brainstem dysfunction
- there is no evidence of conscious awareness
In 1998, Kalmar et al., a Swedish team, reported that high-energy-induced hemispheric infarction in humans causes coma and near-complete recovery of function within 10 days if the patients are treated in the appropriate care facilities. In other words, many patients with large hemispheric strokes are in a coma for less than 10 days; in this particular study, most patients were comatose for up to 90 days (4 patients) or for up to 110 days (13 patients). Another study demonstrated that the prognosis of patients with a large ischemic hemispheric stroke is almost always good, with full recovery (including locomotion and cognitive function) in most cases by 8 months after the infarction. The prognosis depended upon the degree of cortical function and the degree of sparing of subcortical structures.
By using on-call neurologists to increase the probability of an accurate neurological diagnosis and comprehensive management, most patients could survive and be discharged from the hospital. The success of the approach depends on the establishment of an organized transfer system in which the appropriate facilities are identified and available for transportation of all comatose patients.
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