Gerber Carolyn S
Surgical Intensive Care Unit, Scripps Mercy Hospital, San Diego, CA 92103, USA.
Crit Care Nurs Q. 2005 Apr-Jun;28(2):94-108; quiz 109-10. doi: 10.1097/00002727-200504000-00002.
The incidence of people surviving with traumatic brain injury is rising at a remarkable pace. Unfortunately, patients also experience some form of coma and significant deficits (ie, cognitive, functional, etc). The focus is shifting from saving these patients to trying to figure out what else can be done for them? In the past, patients were medically maintained, stabilized, and then sent to rehabilitation centers for coma stimulation, in the hope of waking up their reticular activating system. Today, healthcare professionals are being encouraged to research and explore the possibility of implementing structured coma stimulation programs as early as 72 hours postinjury in the intensive care unit. Starting early is of paramount importance to a patient's survival, quality of life, and overall long-term prognosis. The goal of this article is to educate healthcare professionals (in the hospital setting) about managing and implementing structured sensory stimulation sessions.
创伤性脑损伤幸存者的数量正以惊人的速度上升。不幸的是，患者还会经历某种形式的昏迷和严重缺陷（即认知、功能等方面）。重点正在从挽救这些患者转向试图弄清楚还能为他们做些什么？过去，患者在接受医疗维持、病情稳定后，被送往康复中心进行昏迷刺激，希望唤醒他们的网状激活系统。如今，医护人员被鼓励研究并探索在重症监护病房受伤后72小时内尽早实施结构化昏迷刺激方案的可能性。尽早开始对患者的生存、生活质量和整体长期预后至关重要。本文的目的是教育（医院环境中的）医护人员如何管理和实施结构化感觉刺激疗程。
