心脏振荡使大脑死亡的诊断复杂化
Brittany Bolt1, Farid Muakkassa2, Lindsay Bruening3
1Cerebrovascular Center, Neurological Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Case reports in critical care
|September 20, 2023
概括
通过神经学标准 (DNC) 诊断死亡可能因政策变化和检查混而具有挑战性. 这一案例凸显了心脏振荡如何模仿呼吸的努力,使脑死亡的确定变得复杂.
科学领域:
- 神经学 神经学
- 关键护理医学 关键护理医学
- 法医医学 法医医学
背景情况:
- 通过神经学标准 (DNC) 死亡或脑死亡是一种临床诊断.
- 由于机构政策的变化和混的临床因素,诊断可能会变得复杂.
- 准确确定DNC对于临床管理和器官捐献协议至关重要.
研究的目的:
- 在临床评估脑死亡时,呈现一个心脏振荡模仿呼吸努力的案例.
- 讨论这种混因素在确定DNC时所带来的诊断挑战.
- 描述用于区分心脏振荡和真正的呼吸信号的机动.
主要方法:
- 一个27岁的男性在有毒气体暴露和心脏骤停后的病例报告.
- 对DNC进行临床检查,包括对呼吸力度的评估.
- 利用特定的机动来区分文物和生理信号.
主要成果:
- 患者的进展符合大脑死亡的标准.
- 观察到心脏振荡,在呼吸机上显示为"触发呼吸".
- 机动成功地确定了这些"触发呼吸"是心脏起源,而不是呼吸.
结论:
- 心脏振荡可以在脑死亡的临床诊断中呈现显著的混因素.
- 细致的检查和特定的机动对于准确诊断DNC至关重要.
- 这一案例强调了在重症监护机构中识别和区分文物的重要性.
相关概念视频
Disturbances in Heart Rhythm
1.0K
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
1.0K
Brain Waves
1.5K
Brain waves are electrical signals generated by the neurons in the brain, which are regularly monitored to measure mental activities. Brain waves and their frequency ranges can be measured using an electroencephalogram or EEG. There are four main types of brain waves, each with distinct characteristics:
1.5K
Correlation between ECG and Cardiac Cycle
6.5K
The electrical signals recorded on an electrocardiogram (ECG) occur before the mechanical processes of contraction and relaxation during the cardiac cycle.
A cardiac action potential originates in the SA node and spreads throughout the atria and the AV node in approximately 0.03 seconds. This results in the P wave in an ECG and triggers atrial contraction. The action potential is then briefly slowed at the AV node, allowing the atria to contract and fill the ventricles with blood before...
A cardiac action potential originates in the SA node and spreads throughout the atria and the AV node in approximately 0.03 seconds. This results in the P wave in an ECG and triggers atrial contraction. The action potential is then briefly slowed at the AV node, allowing the atria to contract and fill the ventricles with blood before...
6.5K
Pulse rhythm
832
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
832
Imbalances in Cardiac Output
1.4K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.4K
Cardiovascular System Abnormal Findings II: Auscultation
175
Auscultation, an essential part of a heart examination, is done using a stethoscope. It provides crucial information about heart function and possible heart problems. Due to heart problems, abnormal sounds can be heard during systole or diastole. These sounds include S3 and S4 gallops, opening snaps, systolic clicks, and murmurs.
Abnormal Heart Sounds
Gallops:
Abnormal Heart Sounds
Gallops:
175


