Postanesthetic oppression of consciousness
Contents:
Description:
The coma and incomplete recovery of consciousness after the general anesthesia can be caused by neurologic disturbances (hemorrhage, ischemia or a vascular embolism of a brain). Ischemia of a brain is possible after carrying out the managed arterial hypotonia. Especially danger of ischemia of a brain in connection with the managed hypotonia at patients with defeat of vessels of a brain at a diabetes mellitus, an idiopathic hypertensia increases, and also at patients of advanced age. Disturbance of a blood-groove in system of vertebral and sleepy arteries during anesthesia develops at the wrong situation - patients (a neck superflexion, extension or turn, a carotid artery prelum ranorasshiritel or other tools). At heart operations recovery of consciousness can be broken by an embolism of brain vessels air, atherosclerotic plaques, blood clots from an auricle or a ventricle. Oppression (or loss) consciousnesses is possible as a result of a fatty embolism, especially at operative measures on bones. There are messages on development of a fatty embolism after the closed cardiac massage and massive immunosuppressive therapy by hormones.
For clinical assessment of unconsciousness and the choice of method of controlling with it in the postanesthetic period it is important to establish its reason. The careful analysis of data of preoperative inspection of the patient, the accompanying pathology and the previous medicamentous therapy can help with it. First of all it is necessary to estimate adequacy of external respiration and gas exchange. If necessary determine blood sugar level, conduct researches of BRAIDS, blood gases, and also take body temperature. Additional laboratory researches which will indicate existence of diseases of a liver, kidneys or endocrine organs undetected earlier can be required.
