Department of Neurology, University of Texas Southwestern, Dallas, Texas.
Department of Neurology, University of California San Francisco, San Francisco, California.
Semin Neurol. 2022 Jun;42(3):393-402. doi: 10.1055/a-1887-7104. Epub 2022 Jun 29.
Recovery from coma or disordered consciousness is a central issue in patients with acute brain injuries such as stroke, trauma, cardiac arrest, and brain infections. Yet, major gaps remain in the scientific underpinnings of coma and this has led to inaccuracy in prognostication and limited interventions for coma recovery. Even so, recent studies have begun to elucidate mechanisms of consciousness early and prolonged after acute brain injury and some pilot interventions have begun to be tested. The importance and scope of this led in 2019 to the development of the Curing Coma Campaign, an initiative of the Neurocritical Care Society designed to provide a platform for scientific collaboration across the patient care continuum and to empower a community for purposes of research, education, implementation science, and advocacy. Seen as a "grand challenge," the Curing Coma Campaign has developed an infrastructure of scientific working groups and operational modules, along with a 10-year roadmap.
昏迷或意识障碍的恢复是急性脑损伤患者(如中风、创伤、心脏骤停和脑部感染)的一个核心问题。然而,昏迷的科学基础仍存在重大空白,这导致了预后不准确,昏迷恢复的干预措施有限。即便如此,最近的研究已经开始阐明急性脑损伤后早期和长期意识的机制,一些试点干预措施已经开始进行测试。这一重要性和范围促使 2019 年成立了昏迷治疗运动,这是神经危重病学会的一项倡议,旨在为整个患者护理连续体提供一个科学合作的平台,并为研究、教育、实施科学和宣传目的赋予一个社区权力。昏迷治疗运动被视为一项“重大挑战”,它已经建立了科学工作组和操作模块的基础设施,以及一个 10 年路线图。