I'm Dr. Joshua Schwimmer, a nephrologist and internal medicine physician in New York City. • Kidney Notes was the first active nephrology blog. (Trivia: Kidney Notes is so old that the National Library of Medicine still uses it as an example of how to formally cite blogs.) • Professionally, you can find me at Kidney.nyc. • Kidney Notes is for educational purposes only, not medical advice. Consult qualified health care professionals. See disclaimer.

Monday, January 9, 2006

What's an Induced Coma?

Via Slate:
Doctors can try to reduce swelling by putting the patient in a coma. (Among the other available options: opening a hole in the side of the head to let out fluid, cutting out portions of the inflamed brain, or inducing hypothermia.) Inducing a coma is beneficial because a comatose brain uses less energy—and oxygen—than an awake and alert one. A brain that's been shut down in a coma can survive longer with a limited supply of oxygen. The coma also further reduces blood flow to the brain, which eases pressure in the cranium. Reduced blood flow does mean less oxygen gets to the brain, but since comatose brains don't need much oxygen this isn't a problem.
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