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SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
Published on: February 6, 2021
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Towards modern post-coma care based on neuroscientific evidence
Leandro R D Sanz1,2, Steven Laureys1,2,3, Olivia Gosseries1,2
1Coma Science Group, GIGA Consciousness, University of Liège, Liège, Belgium.
International Journal of Clinical and Health Psychology : IJCHP
|February 23, 2023
Summary
Advances in neurosciences enhance the care of brain-injured patients by improving prognostication and treatment. New evidence-based approaches and multimodal frameworks are reshaping post-coma care and clinical practice.
Area of Science:
- Neuroscience
- Clinical Neurology
- Medical Research
Background:
- Understanding consciousness mechanisms is crucial for treating brain-injured patients.
- Neuroscientific advances are refining the characterization of disorders of consciousness.
- Current nomenclature and management of post-comatose patients are being re-evaluated.
Purpose of the Study:
- To review the impact of consciousness neurosciences on severe brain injury management.
- To investigate the healthcare implications of consciousness disorders.
- To explore how neuroimaging research reshapes post-coma care.
Main Methods:
- Literature review focusing on consciousness neurosciences and severe brain injury.
- Analysis of scientific frameworks for identifying neural correlates of consciousness.
- Examination of evidence-based neuroimaging data in post-coma care.
Main Results:
- Improved detection of behavioral and neurophysiological signatures of consciousness.
- Significant shifts in the taxonomy and clinical practice for disorders of consciousness.
- Advocacy for a multimodal, precision medicine framework integrating diverse data.
Conclusions:
- Progress in brain imaging and clinical assessment heralds a new era in post-coma care.
- Standardized neuroscientific evidence is transforming clinical applications.
- Enhanced collaboration between researchers and clinicians is vital for bedside translation.
Keywords:
CRS-R, Coma Recovery Scale - RevisedComaDisorders of ConsciousnessDoC, Disorders of ConsciousnessEEG, ElectroencephalographyMCS, Minimally Conscious StateMinimally Conscious StateNeuroimagingPET, Positron Emission TomographySECONDs, Short Evaluation of Consciousness DisordersUWS, Unresponsive Wakefulness SyndromeUnresponsive Wakefulness SyndromeVS, Vegetative StatefMRI, Functional Magnetic Resonance Imaging
