Assessment and detection of pain in noncommunicative severely brain-injured patients

被引:9
|
作者
Schnakers, Caroline [1 ]
Chatelle, Camille [1 ]
Majerus, Steve [2 ]
Gosseries, Olivia [1 ]
De Val, Marie [3 ]
Laureys, Steven [1 ,4 ]
机构
[1] Univ Liege, Coma Sci Grp, Cyclotron Res Ctr, B-4000 Liege, Belgium
[2] Univ Liege, Dept Cognit Sci, B-4000 Liege, Belgium
[3] Univ Hosp Charleroi, Dept Intens Care, Charleroi, Belgium
[4] Univ Hosp Sart Tilman, Dept Neurol, Liege, Belgium
关键词
behavioral scale; coma; consciousness; minimally conscious state; nociception; pain; severe brain injury; vegetative state; MINIMALLY CONSCIOUS STATE; VEGETATIVE STATE; DISORDERS; RECOVERY; COMA; PERCEPTION; ACTIVATION;
D O I
10.1586/ERN.10.148
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Detecting pain in severely brain-injured patients recovering from coma represents a real challenge. Patients with disorders of consciousness are unable to consistently or reliably communicate their feelings and potential perception of pain. However, recent studies suggest that patients in a minimally conscious state can experience pain to some extent. Pain monitoring in these patients is hence of medical and ethical importance. In this article, we will focus on the possible use of behavioral scales for the assessment and detection of pain in noncommunicative patients.
引用
收藏
页码:1725 / 1731
页数:7
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