Doctor insights on:
Induced Coma Risks
?????: Pharmacologically induced coma may be used to treat seizures, i.e. Uncontrolled seizures, i.e. Status epilepticus. The idea is that stopping all brain activity beyond what is metabolically essential to maintain neuronal viability will cause the culprit neurons to stop firing abnormally when the drug is stopped. ...Read moreSee 1 more doctor answer
Hypothetically (although dangerous) can an alcohol induced coma terminate a grand mal seizure just like an induced coma with propofol?
(i know its dangerous) but can puting someone into an alcohol induced coma stop a protracted siezure as with a drug induced coma such as phenobarbital?
Absolutely NO!!: I hope this is not something you were thinking of trying on your own to someone you know who has a problem with seizures-- don't ever try to administer alcohol to someone who is having a true seizure--if someone is having a seizure, call 911 and let professionals treat them. ...Read moreSee 1 more doctor answer
Hypothetically (although dangerous) can an alcohol induced coma stop a seizure like a coma other sedative drugs such as phenobarbital or propofol?
Not reliably: If the seizure is for sure due to alcohol withdrawal, this may be possible -- but the amount needed may kill the person first. I'm sure you've heard of death from alcohol poisoning. There are many other possible causes for seizures, and alcohol-induced coma is not the way to treat those either. ...Read more
Not if done properly: And for the right reason. Many of my pts want to be induced. Induction can lower the c-section rate by delivering the baby before it is too large for you, or before the placenta gets too old or the umbilical cord gets too tight or if the baby had a meconium bowel movement., before it becomes too thick. I have never had a pt that regretted being induced. Recent study showed 39-40 wks ideal time. ...Read more
Coronary artery dz: The most common cause is disease of the coronary arteries, but problems in the electrical conducting system can also be a cause. Cardiomyopathies of many different causes are associated with sudden cardiac arrest. Many of these people have implanted defibrillators to reduce this risk. ...Read moreSee 1 more doctor answer
Cardiac arrest: When you have cardiac arrest you are dead. Induced coma is done only when you are alive. As such it isn't a treatment for cardiac arrest. If a patient happens to be resuscitated from cardiac arrest, inducing coma can be a consideration to hope the brain will recover with less metabolic demand on it. It isn't done regularly. We are considering if cooling post arrest survival is as useful as thought ...Read more
Does propofol given for surgery predispose susceptible individuals to dangerous possible lethal cardiac arrhythmias?
Propofol safety: Propofol is generally a safe medication when used appropriately. If a patient is given too much, given the medication too rapidly, or if the patient is hypovolemic or already has cardiac issues, Propofol can potentially cause hypotension which may lead to cardiac arrhythmias. There is no direct cardiac dysrhythmic effect but arrhythmias can occur if Propofol is not given with care. ...Read moreSee 1 more doctor answer
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