Abstract

Article1 April 1942RECENT ADVANCES IN THE CARE OF THE COMATOSE PATIENTBARNETT A. GREENE, M.D.BARNETT A. GREENE, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-16-4-727 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe comatose patient, regardless of the cause of the coma, requires special therapeutic consideration. Coma does not merely indicate an advanced stage of the underlying disease but also complicates it because unconsciousness adds its own characteristic burdens to those of the primary disease. The coma which is of interest to us is that degree of unconsciousness in which the protective reflexes are decreased or absent. The severity of the physical changes which are the sequelae of coma is directly in proportion to the depth and duration of the coma. Because of the opportunities provided by his daily contacts with unconscious...Bibliography1. NESBITGORDON RMWG: The neurogenic bladder, Penna. Med. Jr., 1940, xliii, 1261. Google Scholar2. LATIMER EO: Water balance, Am. Jr. Surg., 1939, xlvi, 224. Google Scholar3. Ibid.: p. 225. Google Scholar4. MADDOCKCOLLER WGFA: Sodium chloride metabolism of surgical patients, Trans. Am. Surg. Assoc., 1940, lviii, 38. Google Scholar5. WILLSONRYNEARSONDRY DMEHTJ: Cardiac failure following treatment of Addison's disease with desoxycorticosterone acetate, Proc. Staff Meet. Mayo Clin., 1941, xvi, 168. Google Scholar6. WEILROSEBROWNE PGBJS: The reduction of mortality from experimental traumatic shock with adrenal cortical substances, Canad. Med. Assoc. Jr., 1940, xliii, 8. SCUDDER, J.: Shock, 1940, J. B. Lippincott Co., Montreal. Google Scholar7. MADDOCKCOLLER WGFA: Water balance in surgery, Jr. Am. Med. Assoc., 1937, cviii, 1. Google Scholar8. COTUI FW: Present scientific status of spinal anesthesia, Parts I and II, Curr. Res. Anesth. and Analg., 1938, xvii, 146, 181. Google Scholar9. WATERS RM: Aspiration pneumonitis, an obstetric hazard, Jr. Am. Med. Assoc., 1940, cxiv, 1391. Google Scholar10. LOWENTHAL G: Tracheobronchial aspiration of buccopharyngeal secretion during ether anesthesia, Arch. Otolaryng., 1935, ii, 561. CrossrefGoogle Scholar11. PICKRELL KL: Effect of alcoholic intoxication and ether anesthesia on resistance to pneumococcal infection, Bull. Johns Hopkins Hosp., 1938, lxiii, 236. Google Scholar12. CORYLLOS PN: Post-operative pulmonary complications and bronchial obstruction, Surg., Gynec. and Obst., 1930, l, 795. Google Scholar13. ROSSFAIRLIE SSHP: Handbook of anesthetics, 5th ed., 1940, Williams and Wilkins Co., Baltimore, p. 30. Google Scholar14. LANDIS EM: Micro-injection studies of capillary permeability: effect of lack of oxygen on permeability of capillary wall to fluid and to plasma proteins, Am. Jr. Physiol., 1928, lxxxiii, 528. CrossrefGoogle Scholar15. BARACH AL: The effects of inhalation of helium mixed with oxygen on the mechanics of respiration, Jr. Clin. Invest., 1936, xv, 47. CrossrefGoogle Scholar16. HAIGHT C: Intratracheal suction in the management of postoperative pulmonary complications, Ann. Surg., 1938, cvii, 218. CrossrefGoogle Scholar17. MOONKENNEDY VHPJ: Pathology of shock, Arch. Path., 1932, xiv, 360. Google Scholar18. BARCROFT J: Anoxemia, Lancet, 1920, ii, 485. Google Scholar19. ROVENSTINE EA: Use of picrotoxin in treatment of barbiturate poisoning, Am. Jr. Med. Sci., 1938, cxcvi, 46. MALONEY, A. H. and TATUM, A. L.: Cardiazol (Metrazol) and coramine cardio-respiratory stimulants, Arch. internat. de pharmaco dynam. et de therap., 1932, xlii, 200. BURSTEIN, C. L., and ROVENSTINE, E. A.: Clinical experience with the newer analeptics, Curr. Res. Anesth. and Analg., 1937, xvi, 151. CrossrefGoogle Scholar20. BARLOW CW: Relative efficiency of a series of analeptics as antidotes to sublethal and lethal dosages of pentobarbital, chloral hydrate and tribromethanol, Jr. Pharmacol. and Exper. Therap., 1935, lv, 1. Google Scholar21. SCHULTETAINTERDILLE JWMLJM: Analeptic activity of sympatheticoamines, Jr. Pharmacol. and Exper. Therap., 1939, lxvii, 56. Google Scholar22. CARR HA: Treatment of acute attacks of bronchial asthma by intravenous injection of aminophylline, Jr. Lab. and Clin. Med., 1940, xxv, 1295. Google Scholar23. HENDERSON Y: Adventures in respiration, 1938, Williams and Wilkins Co., Baltimore. Google Scholar24. SOLLMANN T: A manual of pharmacology, 5th ed., 1936, W. B. Saunders Co., Philadelphia, p. 416. Google Scholar25. Ibid.: p. 428. Google Scholar26. ORTHLEIGHMELLISHSTUTZMAN OSMDCHJW: Action of sympathomimetic amines in cyclopropane, ether and chloroform anesthesia, Jr. Pharmacol. and Exper. Therap., 1939, lxvii, 1. HENDERSON, V. E.: The substances causing vasoconstriction, Anesthesiology, 1940, i, 334. Google Scholar27. FREEMAN N: Decrease in blood volume after prolonged hyperactivity of sympathetic nervous system, Am. Jr. Physiol., 1933, ciii, 185. Google Scholar28. BOOTHBYMAYOLOVELACE WMCWWR: One hundred per cent oxygen: indications for its use and methods of its administration, Jr. Am. Med. Assoc., 1939, cxiii, 477. CrossrefGoogle Scholar29. LOVELACE WR: Oxygen for therapy and aviation, Proc. Staff Meet. Mayo Clin., 1938, xiii, 646. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication June 16, 1941. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe Eye Examination in the Differential Diagnosis of the Disoriented Patient* 1 April 1942Volume 16, Issue 4Page: 727-736KeywordsComaReflexes ePublished: 1 December 2008 Issue Published: 1 April 1942 PDF downloadLoading ...

Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call