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将隐性意识的发现转化为临床实践。

Translating the Discovery of Covert Consciousness Into Clinical Practice.

机构信息

Institute for Philosophy and Public Policy, George Mason University, Fairfax, Virginia.

The Brain and Mind Institute, University of Western Ontario, London, Ontario, Canada.

出版信息

JAMA Neurol. 2020 May 1;77(5):541-542. doi: 10.1001/jamaneurol.2020.0232.

DOI:10.1001/jamaneurol.2020.0232
PMID:32176251
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7243154/
Abstract

This commentary addresses the clinical implications of the findings in (Claassen et al., 2019, ). Our discussion focuses on how families will interpret the discovery of covert consciousness in a patient, and how this might affect their clinical decisions, such as the withdrawal of care.

摘要

本评论探讨了(Claassen 等人,2019 年)研究结果的临床意义。我们的讨论重点是家庭将如何解释患者隐匿意识的发现,以及这可能如何影响他们的临床决策,例如停止治疗。

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本文引用的文献

1
Alive inside.内心鲜活。
Bioethics. 2020 Mar;34(3):295-305. doi: 10.1111/bioe.12678. Epub 2019 Oct 2.
2
Detection of Brain Activation in Unresponsive Patients with Acute Brain Injury.急性颅脑损伤无意识患者脑激活的检测。
N Engl J Med. 2019 Jun 27;380(26):2497-2505. doi: 10.1056/NEJMoa1812757.
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Neuroimaging Studies on Disorders of Consciousness: A Meta-Analytic Evaluation.意识障碍的神经影像学研究:一项荟萃分析评估
J Clin Med. 2019 Apr 16;8(4):516. doi: 10.3390/jcm8040516.
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Practice Guideline Update Recommendations Summary: Disorders of Consciousness: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research.实践指南更新建议摘要:意识障碍:美国神经病学学会指南制定、传播和实施小组委员会;美国康复医学会;以及国家残疾、独立生活和康复研究所在此报告。
Arch Phys Med Rehabil. 2018 Sep;99(9):1699-1709. doi: 10.1016/j.apmr.2018.07.001. Epub 2018 Aug 8.
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Feasibility of an EEG-based brain-computer interface in the intensive care unit.基于脑电图的脑-机接口在重症监护病房中的可行性。
Clin Neurophysiol. 2018 Aug;129(8):1519-1525. doi: 10.1016/j.clinph.2018.04.747. Epub 2018 May 9.
6
Preserved consciousness in vegetative and minimal conscious states: systematic review and meta-analysis.植物状态和最小意识状态下的意识保存:系统评价和荟萃分析。
J Neurol Neurosurg Psychiatry. 2016 May;87(5):485-92. doi: 10.1136/jnnp-2015-310958. Epub 2015 Jul 2.
7
Recommendations for end-of-life care in the intensive care unit: a consensus statement by the American College [corrected] of Critical Care Medicine.重症监护病房临终关怀建议:美国危重病医学会共识声明[已修正]
Crit Care Med. 2008 Mar;36(3):953-63. doi: 10.1097/CCM.0B013E3181659096.