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[Reanimation and pathology (author's transl)]

W Masshoff

    MMW, Munchener Medizinische Wochenschrift
    |May 23, 1975
    PubMed
    Summary

    Intensive care medicine allows control over critical states, introducing "vita reducta" (reduced life) phenomena. This study examines the pathological effects of intensive therapy on cardiovascular collapse and cerebral coma.

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    Area of Science:

    • Pathology
    • Intensive Care Medicine
    • Critical Care

    Context:

    • Modern hospitals utilize reanimation and intensive treatment to manage life-threatening conditions.
    • Intensive therapy introduces unique pathological phenomena and altered disease trajectories, termed 'vita reducta'.
    • Understanding these altered states is crucial for accurate diagnosis and treatment.

    Purpose:

    • To introduce and define the concept of 'vita reducta' in the context of intensive care.
    • To explore the pathological effects of intensive therapeutic measures.
    • To critically analyze the terminology surrounding 'clinical death' and 'intravital cerebral death'.

    Summary:

    • Intensive care medicine introduces a state of 'vita reducta,' where life-threatening phases exhibit distinct pathological laws.
    • The study details the pathological effects of intensive measures, focusing on cardiovascular collapse and cerebral coma.
    • It also critiques the misuse of terms like 'clinical death' and 'intravital cerebral death'.

    Impact:

    • Provides a new conceptual framework ('vita reducta') for understanding critical illness under intensive care.
    • Highlights the need for precise terminology in critical care and pathology.
    • Informs the pathological interpretation of conditions like cardiovascular collapse and cerebral coma in treated patients.

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