Coma and Disorders of Consciousness

• Autore: Schnakers Caroline
• Pubblicazione: Cham : , : Springer International Publishing AG, , 2024; ©2023
• Edizione: 3rd ed.
• Descrizione fisica: 1 online resource (325 pages)
• Disciplina: 616.8/49
• Altri autori: LaureysSteven
• Nota di contenuto: Intro -- Foreword -- Preface -- Contents -- Chapter 1: Neural Correlates of Consciousness -- Introduction -- The Neural Correlates of Consciousness -- Neurophysiological Techniques Used in the Study of the NCC -- Physiological States of Consciousness: NCC in Sleep -- Pharmacological States of Consciousness: NCC in Anesthesia -- Pathological States of Consciousness: NCC in Disorders of Consciousness -- Conclusions -- References -- Chapter 2: Behavioral Assessment and Diagnosis of Disorders of Consciousness -- Introduction -- Disorders of Consciousness -- Coma -- Vegetative State/Unresponsive Wakefulness Syndrome -- Minimally Conscious State -- Covert Awareness -- Bedside Assessment -- The Coma Recovery Scale-Revised -- Individualized Quantitative Behavioral Assessment (IQBA) -- Pain Assessment -- Language Assessment -- Diagnostic Accuracy -- Conclusion -- References -- Chapter 3: Brain-Computer Interfaces and Their Place in the Management of Disorders of Consciousness -- What Are BCIs and How Can Patients with a Disorder of Consciousness Benefit From Them? -- BCIs Help to Refine the Taxonomy of Disorders of Consciousness -- The Applications of BCIs in Research for Patients with a Disorder of Consciousness -- P3 -- Motor Imagery -- SSVEP -- Hybrid BCIs -- Body-Computer Interfaces (Biofeedback Machines) -- Recommendations for BCI Use According to Current Guidelines for Clinical Management of Patients with a Disorder of Consciousness -- Future Research and Clinical Directions to Encourage Development and Implementation of BCIs for Patients with a Disorder of Consciousness -- Conclusion -- References -- Chapter 4: Prognosis in Disorders of Consciousness -- Introduction -- Evolution -- Prognostic Issues -- Conclusion -- References -- Chapter 5: Neuromedical Comorbidities and Their Management in Patients with DoC -- Introduction. ; Comorbidities Assessment -- Respiratory Complications and Dysphagia -- Neurosurgical Complications -- Spasticity and Other Motor Disorders -- Heterotopic Ossification and Bed Best Syndrome -- ICU-Acquired Weakness (ICU-AW)/Critical Illness Polyneuropathy (CIP) -- Pain Assessment and Treatment -- Language Disorders -- Epilepsy -- Hypopituitarism -- Paroxysmal Sympathetic Hyperactivity (PSH) -- Metabolic and Gastrointestinal Complications -- Discussion and Conclusions -- Appendix -- References -- Chapter 6: Music as Sensory Stimulation and Therapeutic Intervention -- Introduction: Sensory Stimulation in Comatose and DoC Patients -- The Beneficial Effects of Music -- Music in DoC Patients -- Behavioral and Physiological Modulations -- Brain Modulations -- Music Therapy/Intervention -- Music Interventions Using Patient-Preferred Music -- Music Interventions Using Improvised Music -- Combined Approaches -- Music Therapy Within Interdisciplinary Rehabilitation -- Protocols for Music Interventions -- Working with Families -- New Perspectives for Music and Coma -- References -- Chapter 7: Pharmacological Treatments -- Introduction -- Potential Pharmacological Agents -- Amantadine -- Apomorphine -- Levodopa -- Methylphenidate -- Bromocriptine -- Modafinil -- Selegiline -- Zolpidem -- Baclofen -- Underlying Pharmacological Mechanisms -- Clinical Considerations -- Off-Label Use of Specific Medication -- Limitations of Current Research -- Future Directions -- Psychedelics -- The Potential of Whole-Brain Computational Modeling -- Conclusion -- References -- Chapter 8: Emerging Treatment for Patients with Disorders of Consciousness: The Field of Neuromodulation -- Introduction -- Defining the Neurostimulation Target -- Major Neurostimulatory Techniques Being Tested for DOC Treatment -- Central Techniques -- Deep Brain Stimulation (DBS). ; Transcranial Focused Ultrasound Stimulation (tFUS) -- Bottom-Up Techniques -- Spinal Cord Stimulation (SCS) -- Median Nerve Stimulation (MNS) -- Vagus Nerve Stimulation (VNS) -- Top-Down Techniques -- Transcranial Magnetic Stimulation (TMS) -- Transcranial Electrical Stimulation (tES) -- Conclusion -- Limitations, Future Directions, and Opportunities -- References -- Chapter 9: The Ethics in the Management of Patients with Disorders of Consciousness -- Introduction -- A Heuristic Approach for Identifying Emerging Ethical Issues: Fundamental vs. Practical -- Fundamental Ethical Issues Arising from DOCs -- The Inferential Diagnosis of DOCs -- The Ethical Relevance of the Unconscious -- Practical Ethical Issues -- Misdiagnosis -- Nosology -- The Distributed Responsibility Model -- Institutional Issues -- Clinical Issues -- Interpersonal Issues -- Conclusion -- References -- Chapter 10: Taking Care of Patients with Disorders of Consciousness: Caregivers' Burden and Quality of Life -- Introduction -- Who Is the Informal Caregiver of a Patient with DOC? -- Sociodemographic Characteristics of DOC Patients' Caregivers -- Hours of Care and Support for Caring -- Motivations for Caregiving -- Burden: Definition and Concepts -- Burden and Emotional Distress: The Impact on the Emotional Domain -- Burden as the Impact on Employment, Economic Status, and Leisure Activities of Caregivers -- Burden and Coping Strategies -- Burden as the Impact on Caregivers' Quality of Life -- Caregivers' Involvement During Patients' Assessments -- Caregivers Within the International Guidelines -- Concluding Remarks -- References -- Chapter 11: Models and Systems of Care for Patients with Disorders of Consciousness -- Introduction -- Characteristics of Successful Care Systems in Non-neurological Diseases -- Health Service Delivery Gaps and Opportunities. ; Existing Models of Systems-Level DoC Care and Research -- The Dutch Model -- History -- Chain of Care Model -- Research Activities Associated with the Chain of Care Model -- Traumatic Brain Injury Model Systems -- TBIMS Infrastructure and Mission -- TBIMS DoC Special Interest Group -- TBIMS DoC-Related Accomplishments -- The Curing Coma Campaign -- Gaps in the Understanding of the Natural History of Coma Recovery -- Impact of the Lack of Data in Hyperacute Management -- COMPOSE Study Addresses the Gap in the Natural History of Coma Recovery -- Moving Toward an Integrated DoC Model System for Clinical Care and Research -- Barrier 1: No Systematic Surveillance Systems to Track and Characterize DoC Admissions -- Barrier 2: Variability in Approaches to Diagnosis, Intervention, and Outcome Assessment in Acute and Chronic Care -- Barrier 3: Limited and Non-Standardized Assessment of Long-Term Recovery -- Barrier 4: Lack of an Infrastructure to Integrate Clinical Data into a Research Database -- A Lesson from the TBI Model Systems -- Conclusion -- References -- Chapter 12: Pediatric DOC: Diagnosis, Prognosis, and Treatment -- Introduction -- Diagnosis -- Neurobehavioral Assessment -- Multi-Modal Assessment -- Neural Abnormalities in Pediatric DoC -- Abnormalities at Rest -- Circadian Abnormalities -- Evoked Abnormalities -- Neuroimaging -- Neurophysiology -- Gaps and Future Directions -- Outcome and Prognosis -- Patient Characteristics -- Neuroimaging -- Neurophysiology -- Gaps and Future Directions -- Treatment -- Gaps and Future Directions -- Summary and Conclusions -- References -- Chapter 13: Near-Death Experiences: What Do We Know? -- Description of the Phenomenon -- Identifying NDEs -- NDE Characteristics -- NDEs Not "Near Death" -- Negative NDEs -- NDE Experiencers' Characteristics -- NDEs and Its Consequences -- Limits and Debates in NDE Research. ; Explicative Models for NDEs -- Psychological Theories -- Neurobiological Theories -- Conclusion -- References -- Chapter 14: Future Perspectives of Clinical Coma Science -- In the Past … -- Recent Findings on Assessment and Treatment -- In the Future … -- References -- Index.
• Titolo autorizzato: Coma and Disorders of Consciousness
• ISBN: 3-031-50563-8
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910841863103321
• Lo trovi qui: Univ. Federico II