Doctor insights on:
Induced Coma For Trauma Patients
What would cause unequal pupils in a patient that has been in a medically induced coma for over a week?
Depends: It is important to know if this had been true prior to the illness onset. If not present prior the possibility is high the pt has had some intracranial catastrophe such as brain bleed. The unequal pupils suggest a bleed or other intracranial event. Need to speak to the neurologist. If not under the care of neuro get a consult. ...Read more
What would a post op check up consist of if the patient had surgery to repair 3 gsws and they were in a medically induced coma?
Many/nurse's list: It runs from how deep the coma is or the paralytic if being used, how well the ventilator and the patient are synchronized, all the vital signs, heart rate and rhythm, temp, bp, saturation, position in bed, urinating, bowel sounds, heart sounds, breath sounds. Ask the nurse and there will be a long list. ...Read more
Why induce coma: 33F asks why put a pt in a medical induced coma after triple bypass surgery. Many reasons but first would be suspect brain injury due to low BP during surgery and want to protect brain. First ask the person's team why? And go to ScientificAmerican.com and look at What is a Medically induced Come and why is it use? B David Biello Jan 10, 2011. ...Read more
Limited: One needs full details to be sure, but the pattern is gloomy. ...Read more
They sometimes to be: It depends on the patient's goals of care. Some want to remain as alert as possible and are willing to suffer to remain alert. Others do not but can be managed with pain medications yet remain alert. Others however require higher doses and the only way relief is found is when they are sleeping, in which case "sedation for refractory symptoms" is used when nothing else has worked. ...Read moreSee 1 more doctor answer
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