Beyond the GCS: an integrative review of new tools for neurological assessment in the intensive care unit for adult patients
Alessia Xhaferri,
Nicola Ramacciati,
Gian Domenico Giusti
Abstract:The Glasgow Coma Scale (GCS) is a widely used clinical tool for assessing impaired consciousness, but concerns arise when applied to intubated patients or those receiving analgesics, sedatives, and paralytics because verbal scores are not evaluable. Furthermore, the GCS does not differentiate the neurological status of the patient once intubated, resulting in poor reliability in neurological assessment, and clinical indicators that may reflect the severity of the coma are not included in the GCS. This study ex… Show more
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