Doctor insights on:
Medically Induced Coma For Pneumonia
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
(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
?????: 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?
Status asthmaticus and respiratory failure. How long can someone be in this state before brain damage occurs?
If an elderly person has renal impairment, CHF & hypernatremia (sodium presently 157 mmol/L) would it seem to be appropriate for him to be on a NORMAL SALINE IV fluid? Other conditions are COPD, pleural effusion, T2 diabetes, delirium, mild hepatic dysfun
Multiple med problem: I would consider 1/4 N.S. a more appropriate fluid. Sounds multiple system are failing and he has a very high mortality. If one can correct the CHF and CRF then the other factors may correct themselves, but doubt that Hemodialysis is indicated in a 91 y/o ...Read moreSee 1 more doctor answer
Can the use of haloperidol (for delirium) or hydromorphone (for pain) mask an elderly pt's ability to respond to antibiotic treatment for suspected sepsis and probable pneumonia?
Infection...: Acute bronchitis is due to infection of the airways. If the infection is severe enough, it could result in decreased oxygen levels in the body which, in turn, could cause the heart to have a fatal arrhythmia. Fortunately, this does not happen often as most cases of acute bronchitis resolve with treatment. It could also infect the lungs, causing pneumonia, which is sometimes fatal, esp in elderly. ...Read more
Complex reasons: ARDS is a condition where the lining of the air sacs in the lung become leaky and allow fluid to flow into the air sacs and making it difficult for the lung to exchange oxygen and carbon dioxide. The cause can be direct injury such as a pneumonia or inhaling a substance that damages the lung or, as is the likely case with you family member, that there is whole body inflammation (pancreatitis). ...Read more
Preemie: Prior to RSV/pneumonia/pneumothorax no symptoms. Post has cardiomegaly and tachycardia. Could illness be the cause?
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
Could either severe dengue fever and/or antibiotic induced anaphylactic shock trigger a chronic obstruction of hepatobiliary system? Thank you.
I had BCG chemo for bladder cancer & developed serious infection requiring hospitalization. What other chemo drug can be used?
It depends: Bcg sepsis is a known, yet uncommon complication of BCG treatment for bladder cancer. The next option really depends on your specific bladder cancer - your urologist will be bettre ablet o discuss this with you. The next option may be for intravesical mitomycing, intravesical valrubicin, or possibly cystectomy. ...Read moreSee 3 more doctor answers
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