Treatment for Coma

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dr. simi paknikar
Medically Reviewed by dr. simi paknikar, MD
Last Updated on Sep 25, 2014
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Treatment for Coma

Currently, there are no medicines that will shorten the duration of coma.

Diagnosis and treatment of coma begin simultaneously.

The Glasgow coma scale is used to determine whether the patient is improving, deteriorating, or remaining the same. It is a simple way of measuring the depth of coma based upon observations of eye opening, speech and movement.

Initial emergency treatment of a comatose patient focuses on stabilizing the vitals. In some cases of severe coma, the patient may require life-saving resuscitative measures. Once the comatose patient is medically stable, it is important to diagnose and treat the underlying cause of coma.

  • A detailed history from the family members and friends is very important and can help determine the exact cause of coma.
  • Glucose may be administered intravenously if the blood sugar level is low.
  • If the coma is suspected to be induced due to a narcotic overdose, naloxone (narcan) may be given intravenously to reverse the situation.

Currently there are no medicines that will shorten the duration of coma. In fact, some medicines actually deepen the state of unconsciousness. For a patient in prolonged coma, the treatment goal is-

  • Preventing infection like pneumonia or bedsores
  • Providing balanced nutrition
  • Physical therapy may prevent permanent muscle contractions and bone deformities.

If doctors think the coma is not likely to reverse quickly, they may insert an endotracheal tube to aid respiration and may administer oxygen.

In the case of a coma that results from a head injury, doctors may perform surgery to drain excess fluid from the head and relieve pressure on the brain.

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Chandra_28

Hi my elder brother[28 years] is in Comma from last 2 years due to head injury by Road Accident. He is opening eyes and nothing else. His operation was held in New Delhi AIIMS india shunt placed in this brain by the Doctors.

Can You pls suggest me any way to get back my bro in our life as earlier. Pls suggest me any treatment that will be effected in this condition ?? and pls Pray for My brother pls pls pls.

my wife is in coma for 6 days but after coming out of coma she forgot most of the things but after one week she recognised my family friends but she is not looking like a normal person how long will it take to come to normal life

Arpi12

Hi I am 12th studying student ,, and have a question - According to my Book for acquiring the features of a living being one must possess consciousness and should have the capacity to grow and reproduce . So can a person in Coma be called a living being who dont have consciousness . Some1 please answer......

Q.Stare

Please Dear All! Guide me, Who is best Doctor of Comatose in Pakistan???? which hospital have best treatment facility of Coma?????

Karly23

My mom passed away last year from multiple things but she had an anurisum on her heart and had to undergo open heart surgery. She lived for 10 days and wasn't getting any better. I know when she was in a state of coma she could hear me. I really miss her. I lost my bf...last year aug 26 2012

Hi Karly23, it's really sad that you had to lose you loved ones. I can understand your state of mind. Wish you all the luck in future. God Bless!

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