BACKGROUND AND OBJECTIVE studies have shown that rate of propofol infusion may influence the predicted propofol concentration at the effect site (Es). The aim of this study was to evaluate the Es predicted by the Marsh pharmacokinetic model (ke0 0.26min(-1)) in loss of consciousness during fast or slow induction. METHOD the study included 28 patients randomly divided into two equal groups. In...

Detailed history taking is of paramount importance to establish a reliable diagnosis in patients with transient loss of consciousness. In this article the clinical symptoms and signs of the successive phases of a syncopal episode are reviewed. A failure of the systemic circulation to perfuse the brain sufficiently results in a stereotyped progression of neurological symptoms and signs culminati...

abstract background: critical care patients are at higher risk for untreated pain. pain has persistent and untreated effects on most of the body systems and results in development of complications, chronic pain, and increased length of stay. the aim of this study was to determine the effects of the implementation of a pain management program on the length of stay in patients with decreased leve...

We report the case of a 2.5 month-old infant with cyanotic breath-holding spells, loss of consciousness and seizures. Prolonged asystole up to 70 s despite cardiopulmonary resuscitation was documented by 24 hour Holter monitoring. An epicardial pacemaker was implanted followed by no further loss of consciousness and seizures during spells in a six month follow-up period.

Our understanding of the mechanisms of loss and recovery of consciousness, following severe brain injury or during anesthesia, is changing rapidly. Recent neuroimaging studies have shown that patients with chronic disorders of consciousness and subjects undergoing general anesthesia present a complex dysfunctionality in the architecture of brain connectivity. At present, the global hallmark of ...

Syncope is defined as a sudden temporary loss of consciousness associated with a loss of postural tone, with spontaneous recovery that does not require electrical or chemical cardioversion. Syncope is a common symptom, accounting for 1% to 6% of hospital admission and up to 3% of emergency room visits. Loss of consciousness is also common in healthy young adults, although most do not seek medic...