David B. Fischer

Abstract Sun1108: Development of a Novel Categorization Framework for In-Hospital Cardiac Arrest

Katherine Margaret Berg, Brandon Tang, Kelvin Chen, Aarthi Kaviyarasu et autres

Introduction: In-hospital cardiac arrest (IHCA) affects roughly 300,000 patients each year in the United States. Compared to out-of-hospital cardiac arrest (OHCA), IHCA remains understudied. OHCA categorization is well established, allowing for efficient and granular quality improvement and clinical research to improve OHCA …

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Oxygen Targets After Cardiac Arrest

David B. Fischer

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Covert Consciousness: Epistemic Limits of Its Definition and Detection

Michael J. Young, Thomas H. Nagel, Liad Mudrik, Adina L. Roskies et autres

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Covert consciousness: what’s in a name?

Charlène Aubinet, Jan Claassen, Brian L. Edlow, David B. Fischer et autres

Over the past decade, it has become apparent that up to 25% of behaviourally unresponsive patients with acute or chronic disorders of consciousness reveal high spatio-temporal complexity following a direct electrical or magnetic pulse to the brain, highly differentiated EEG responses or …

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Neuroanatomical Basis of Coma in Acute Ischemic Stroke

Zheng Zhang, Jennifer Ahjin Kim, Victor Torres‐Lopez, Aya F. Khalaf et autres

Abstract Background Acute ischemic stroke (AIS) can lead to profound disturbances in consciousness, including coma, which is associated with poor prognosis and increased mortality. Clarifying the lesion patterns that precipitate loss of consciousness can refine pathophysiological models and guide prognosis. Objectives In …

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Publisher Correction: A human brain network linked to restoration of consciousness after deep brain stimulation

Aaron E. L. Warren, Marina Raguž, Helen Friedrich, Frederic L. W. V. J. Schaper et autres

In the version of this article initially published, due to a processing error, 25 instances of the word “analyses” appeared as “analysed” throughout the article, which are now corrected in the HTML and PDF versions of the article.

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A human brain network linked to restoration of consciousness after deep brain stimulation

Aaron E. L. Warren, Marina Raguž, Helen Friedrich, Frederic L. W. V. J. Schaper et autres

Disorders of consciousness are characterized by severe impairments in arousal and awareness. Deep brain stimulation is a potential treatment, but outcomes vary-possibly due to differences in patient characteristics, electrode placement, or the specific brain network engaged. We describe 40 patients with disorders …

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The miracle dilemma: demystifying a common challenge in neuroprognostication

David B. Fischer, Monisha A. Kumar, Joshua M. Levine, Matthew T. Mendlik et autres

When patients suffer from a disorder of consciousness, surrogate decision-makers commonly express hope for a miracle, a potential source of moral distress for neurologists. Fischer et al. apply a systematic framework for neuroprognostication to understand, delineate, and appropriately respond to distinct types …

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Implementation of a specialized neuroprognostication consultation program and associated provider attitudes: A survey-based study

David B. Fischer, Sahily Reyes‐Esteves, Alan Ford, Peter Schwab et autres

• Does a specialized neuroprognostication program improve provider perceptions? • We disseminated surveys to critical care providers over three years. • Surveys assessed attitudes and satisfaction with post-arrest neuroprognostication. • The program was associated with improved provider attitudes and satisfaction. • A …

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An ethical framework to assess covert consciousness

Michael J. Young, Christof Koch, Jan Claassen, David B. Fischer et autres

Reconstructing Covert Consciousness

David B. Fischer, Brian L. Edlow, Holly J. Freeman, Daniel Alaiev et autres

Determining the level of consciousness in patients with brain injury-and more fundamentally, establishing what they can experience-is ethically and clinically impactful. Patient behaviors may unreliably reflect their level of consciousness: a subset of unresponsive patients demonstrate covert consciousness by willfully modulating their …

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The future of the regime: the short term

David B. Fischer

By the time this book is published some of the questions raised in previous chapters should have been answered. It should be clear whether the tension between India and Pakistan has escalated into open hostilities or again subsided into cordial distrust, whether …