Biomedical subjects

H Alessandri

Publications and source records attributed to H Alessandri.

10 recordsLinked to original sources

PubMed1993

[Awakening from traumatic coma and its future. 3 phases of dynamic reconstruction].

After the question of TC patient's survival in Intensive Care Units, many other questions, during-coma awakening phase, appear to family, care team, and the patient himself i.e. will the patient be handicapped or will he be as before? which after-effects of this passage? The vital functions and autonomy conquest goes with a permanent adjustment of psychical functions for keeping together an "exploded" subject. Each patient's singular history, its expression and meanings, are catched into initial trauma, coma, intensive care and awakening phase framework. Clinical observations leads to describe three evolutive periods, specific of awakening but also bound up with each other.

Brain Injuries↗

PubMed1993

[Coma--resuscitation--unconsciousness. Approach to a difficult triple connection].

Clinical observations as well as words pronounced by brain injured patients in coma awaking phases attest the emergence of an unconscious psychic register, which arises at the time of coma and resuscitation, and takes an active part in their perspective background during the subsequent phases. Reported clinical fragments illustrate the interconnections between this unconscious register and the various physiological breakdowns suffered by patients as well as their attempts to recover this background.

Adult↗

PubMed1990

[Communication on awakening].

When Thomas and Karin come to reeducation center after intensive care unit, they appeared in the same medical conditions. However, after a four month stay at awakening center, one will awake and recover exchanges and verbal communication while the other will develop a vegetative state, classically called "chronic". Some questions flow from these two cases: What is awakening? When can we talk about awakening? Every one, according to personal practice, has a different way to approach this phase. And that is why this concept is very difficult to define. During how much time can we talk about awakening stage? From when can we consider that patient has reached a chronic vegetative state?

Adolescent↗

PubMed1990

[Traumatic coma awakening unit].

Clinique Saint Martin is a specialized center for neurologic rééducation which disposes since the month of May 1989 of a ten beds unit intended to receive head injury during coma awakening stage (as soon as possible after intensive care). Effectively important clinical troubles are in relation with traumatism and coma but also secondary effects seems to be due to a long stay in Intensive Care Unit (in spite of all qualities of the medical team). Every patient has a room which can be personified and become very familiar for purpose to create a safe surrounding, without movement limitation and rich in sensorial stimulations and human contacts. Team for each patient is very numerous. In very intensive and permanent way the first period is distinguished by the need of a presence. Repeated calls "for nothing" are characteristic of coma awakening and must count in the unit working.

Coma↗

PubMed1981