Management of unconscious patient. Özlem Korkmaz Dilmen Associate Professor of Anesthesiology and Intensive Care Cerrahpasa School of Medicine. Learning Objectives. Definition of unconsciousness Common causes Diagnosis and treatment of unconscious patient. Definition.
Associate Professor of Anesthesiology and Intensive Care
Cerrahpasa School of Medicine
Unconsciousness is a state in which a patient is totally unaware of both self and external surroundings, and unable to respond meaningfully to external stimuli.
in up to 40% of cardiac arrests
A for ALERT
V for VOICE
P for PAIN
U for UNRESPONSIVE to any stimulus
The patient’s clothes should be removed or cut in an appropriate manner so that any injuries can be seen.
Evolution of neurologic signs in coma from a hemispheric mass lesion as the brain becomes functionally impaired in a rostral caudal manner. Early and late diencephalic levels are levels of dysfunction just above (early) and just below (late) the thalamus.
Pupillary abnormality is one of the cardinalfeatures differentiating surgical disorders from medical disorders. Pupillary abnormalities in coma generally herald structural changes in brain, whereas in metabolic coma such abnormalities are not present.
Sudden lesion of the midbrain; ruptere of an internal carotid artery aneurysm
Chemical blood determinations are made routinely to investigate metabolic, toxic or drug induced encephalopaties.
EEG is useful inunrecognized seizures.