Why Do People Go Into A Coma

Why Do People Go Into A Coma – — For two weeks, Claire Wineland imagined herself in Alaska, looking at forests, caves and wildlife.

“I remember sitting there and looking at the most beautiful landscape ever seen for hours and hours… it would have been freezing, but I didn’t care,” she recalls in a recent video. “Turns out I was full of ice the whole time.

Why Do People Go Into A Coma

While she was in Alaska in her mind, in reality Wineland was in a California hospital in a medically induced coma. After a routine operation, Wineland, who suffers from cystic fibrosis, contracted a dangerous infection called blood sepsis. In the years since her coma, Wineland started a nonprofit channel and videos sharing her stories of survival as a sick person. She shared her story this week in a video called “What It’s Like to Be in a Coma.”

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“Whatever happens in the real world, you hear it, you know it,” she said in the new video. “You kind of know what’s going on. But it goes through that special filter… When it reaches your consciousness, it becomes something else.”

Experts say it’s helpful to hear stories about what ICU patients go through when they’re heavily sedated. Dr. Michael DeGeorgia, a neurologist at University Hospitals Case Medical Center, said patients can suffer post-traumatic stress disorder or other trauma due to the sleep state during sedation. He clarified that medically induced coma is different from coma caused by traumatic brain injury.

“When you dream, your whole brain is out of sync.” When you wake up from the dream, the memory is almost there, but you can’t make sense of it,” DeGeorgia said. memories.”

DeGeorgia said sedated patients will try to understand their surroundings even if they appear unconscious or out of touch. For Wineland, that meant that she thought she was in Alaska when they placed ice packs on her body and that she was in a hammock when they turned her around to drain fluids.

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“My brain would make up a story when I was in these positions,” Wineland said in the video of him. “He was face down and swollen like a balloon. “I was in a strange hammock on my head and my leg got stuck.”

DeGeorgia said that in recent years, doctors are recommending less sedation because patients can have traumatic experiences with sedation when they can’t understand what is happening or what procedures they might need.

“We now know that patients can know what you say to varying degrees,” DeGeorgia said. “Maybe they are actually partially aware of what they are saying. You have to be careful, be patient and assume that they are listening to you.”

Wineland told ABC News that even after “coming out” of the coma, he faced challenges. As the effects of the drugs slowly wore off, it was unclear when he was hallucinating. “I don’t remember what was real and what wasn’t real during that week,” he recalls the week he first woke up. “Every time I talk about it, I remember something else.

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Wineland, a recent high school graduate, said she wants to share her story on her website and YouTube channel to help people better understand what patients with cystic fibrosis and other chronic conditions.

“[There is] a hidden world and subculture of the disease,” Weinland said. “No one really talks about it, it’s [always] the story of a person who is dying, not a person who is sick. The life of a sick person is incredibly exciting.” In the case of a traumatic brain injury, like the bullet U.S. Rep. Gabrielle Giffords suffered in Saturday’s shooting outside a Tucson supermarket that killed six people and injured others 13, doctors sometimes induce a coma. This effective alteration of brain function occurs naturally only in cases of extreme trauma, so why would doctors try to replicate it in patients, as they did with MP, who already suffer injuries in the head and other problems?

The answer lies in the science behind general anesthesia, which approximately 60,000 patients undergo each day. Review article in the December 30, 2010 issue.

This is exactly what doctors look for in a true medical coma, often using the same medications or extreme hypothermia caused by exposure to a cold environment to completely stop blood flow and allow aortic surgery. Shutdown mode can give the brain time to heal without the body doing radical damage by cutting off blood flow to damaged parts. To learn more about these medically induced comas and why doctors use them,

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Basically, what happens with a medically induced coma is that you take a medication and keep giving it until you see a certain pattern on the monitor that tracks the patient’s brain waves, the EEG [electroencephalogram]. Brain-injured patients who are in a coma have a similar pattern. If this pattern is present, then it is felt that the patient is in a drug-induced coma. You do this to protect your brain.

If you have suffered a brain injury, what happens is that the brain’s metabolism has changed significantly. You may have areas without adequate blood flow. The idea is, “Let me reduce the amount of energy that these different areas of the brain need.” If I can do that, as the brain heals and the inflammation goes down, maybe those areas that were compromised will be protected.

But the main thing about drug-induced coma, unlike coma, is that it is reversible. If you did that to someone with a normal brain, they would recover as soon as you took them off the drugs.

In general, the main effects of these drugs outside the brain are to reduce blood pressure. So people who try to do that are given a lot of other medications to keep their blood pressure up and their heart pumping well. On the one hand, you are protecting the brain and on the other hand, all areas of the brain are not receiving the blood they absolutely need.

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If you do this for a long time, the medication may build up and may also take a while to clear from the system. As long as you keep these things in mind, you will be able to see someone in a period like this.

It really depends on the injury, whether it’s a brain injury or a seizure. One patient remained in [drug-induced coma] for six months. This appears to be the end of the distribution.

It depends on how the person progresses and the nature of the injury. Neurologists or intensivists try to remove them as soon as possible. In a case like Gifford’s, they have swelling. If they see that the swelling is going down, they can try to relieve the coma to see if it can return and see what your level of function is.

A medication like propofol, we use it every day in the operating room. It is probably the most used drug in all anesthesia. Basically, every day that patients are put under general anesthesia, the whole situation is a reversible coma. It’s a difference in dosage.

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The body does not usually choose to go into a coma. A coma is a profound alteration of brain function. It is usually the result of deep trauma, brain damage, drug overdose, stroke, some very serious insult. There is no natural analogue of [medically induced coma].

It’s hard to deal with that, because when you go to those extremes, you’re already facing a very terrible situation. If the results are later, it is extremely difficult to distinguish whether it is the result of a drug-induced coma. People who do this are very careful about tracking and following up. They do their best to use this option only for as long as they need it. We’ve all seen movies about people who fall into a coma after suffering serious injuries or illnesses. And while we know that a coma is very difficult for the patient’s loved ones, we rarely see what it is like for the people who experience it firsthand.

From the outside it may seem sad and perhaps a little scary to be in the same room with an unconscious body, but how much of their condition do comatose patients really understand? Are they even there mentally, or are they just shells, with their consciousness floating somewhere above the room?

According to many coma survivors, the unconscious experience is almost dream-like, at least in retrospect. One person said it was “like a normal dream where you have no idea of ​​time but things seem to happen.” This person had “about four different dreams” while in a coma for less than a week.

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Another person, who was in a coma for two and a half weeks, said he didn’t know he was in a coma “until they came

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