Induced coma
Induced coma
The presence of an endotracheal tube and mechanical ventilation alone are not indications of continuous sedation and coma. Only certain conditions such as intracranial hypertension, refractory status epilepticus, the inability to oxygenate with movement, et cetera justify the high risks of medically induced comas.
Induced coma
Although patients are not sleeping while sedated, they can experience hallucinations and delusions that are often graphic and traumatizing in nature. This can lead to post-ICU PTSD after hospital discharge. Patients that develop ICU delirium are at 120 times greater risk of long-term cognitive impairments.
Induced coma
Survivors of prolonged medically induced comas are at high risk of suffering from post-ICU syndrome and may require extended physical, cognitive, and psychological rehabilitation.