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Drug-induced comas are used to protect the brain during major neurosurgery, as a last line of treatment in certain cases of status epilepticus that have not responded to other treatments, [2] and in refractory intracranial hypertension following traumatic brain injury. [1] Induced coma usually results in significant systemic adverse effects.
Relatively lower survival to hospital discharge rates have been observed in Asian countries. [144] Prognosis is typically assessed 72 hours or more after cardiac arrest. [145] Rates of survival are better in those who had someone witness their collapse, received bystander CPR, and/or had either V-fib or V-tach when assessed. [146]
Without special treatment after circulation is restarted, full recovery of the brain after more than 3 minutes of clinical death at normal body temperature is rare. [ 6 ] [ 7 ] Usually brain damage or later brain death results after longer intervals of clinical death even if the heart is restarted and blood circulation is successfully restored.
It's a survival story with multiple miracles. Jessica Hoover collapsed "What were the doctor's first words to you?" a reporter for KGTV asked Jessica Hoover. "You died. You shouldn't have lived ...
[46] [47] Aspirin and other heart drugs also appear to help in the treatment of this disease, even in extreme cases. [48] [49] After the patient has been diagnosed, and myocardial infarction (heart attack) ruled out, the aspirin regimen may be discontinued, and treatment becomes that of supporting the patient. [50]
A deep coma will interfere with the body's breathing reflexes even after the initial cause of hypoxia has been dealt with; mechanical ventilation may be required. Additionally, severe cerebral hypoxia causes an elevated heart rate , and in extreme cases the heart may tire and stop pumping.
Cardiogenic shock is most commonly precipitated by a heart attack. [4] Treatment of cardiogenic shock depends on the cause with the initial goals to improve blood flow to the body. If cardiogenic shock is due to a heart attack, attempts to open the heart's arteries may help. Certain medications, such as dobutamine and milrinone, improve the ...
Infections, stroke, trauma, certain medications, heart attacks [4] Diagnostic method: Blood tests [2] Differential diagnosis: Diabetic ketoacidosis [2] Treatment: Intravenous fluids, insulin, low molecular weight heparin, antibiotics [3] Prognosis ~15% risk of death [4] Frequency: Relatively common [2]