Sudden unresponsive patient with normal vital signs: what is going on?

Smit, Lisa; Foks, Kelly; Hofmeijer, Jeannette; Jagt, Mathieu van der

doi:10.1097/mcc.0000000000000663

Cited by 2 publications

(2 citation statements)

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“…Participants' vital signs, spasticity and skin integrity were measured before and after each exoskeleton session to compare the initial and final values after the use of the exoskeleton, and to determine whether there were increases in lower limb spasticity or vital signs outside the normal ranges described in the article published by Smit et al. (Smit et al, 2019). The vital signs assessed were heart rate (beats per minute), systolic and diastolic blood pressure (mmHg), and oxygen saturation (% SpO2).…”

Section: Methodsmentioning

confidence: 99%

Safety and usability of the MAK exoskeleton in patients with stroke

Cumplido‐Trasmonte,

Barquín‐Santos,

Garcés‐Castellote

et al. 2023

Physiotherapy Res Intl

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Background and purposeStroke is one of the leading causes of disability in adults worldwide, and one of the main objectives in the rehabilitation of these patients is to recover the gait. New technologies have emerged to cope with this issue, complementing conventional therapy with the use of devices such as exoskeletons. The Marsi Active Knee (MAK) exoskeleton (Marsi Bionics SL, Madrid, Spain) has already been tested, but an updated version was improved to allow the patients to perform functional exercises. The aim of this study was to assess the safety and usability of the MAK in the stroke population as well as its potential clinical effects.MethodsA single‐group open label intervention trial was conducted. The device was used twice a week for 5 weeks during 1 h per visit. During the visits, sit‐to‐stand transitions, walking, stair climbing, trunk rotations, and weight‐transfer exercises were performed using the device. Adverse events were collected from participants and therapists to assess safety. The Quebec User Evaluation of the Satisfaction with assistive Technology (QUEST 2.0) was used by both therapists and participants to assess usability. To evaluate its clinical effects, active range of motion (ROM) and muscle strength were assessed in the lower limb.ResultsSix participants with stroke were recruited. The device was shown to be safe since no serious adverse events were reported neither by patients nor by therapists. Every proposed exercise was performed. Regarding clinical effects, overall muscle strength showed an increase after the treatment, although ROM measurements did not show any difference.DiscussionOur results suggest that the MAK device is safe for stroke patients. Nevertheless, further changes to enhance usability are recommended, such as an improvement of the attachment system and an adaptation for the drop foot. Beneficial effects regarding increases in muscle strength were obtained. Further trials with a larger sample size, longer intervention periods, and a control group are needed to verify these results. Also, future research should focus on the usability of the MAK as an assistive technology.

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Section: Methodsmentioning

confidence: 99%

Safety and usability of the MAK exoskeleton in patients with stroke

Cumplido‐Trasmonte,

Barquín‐Santos,

Garcés‐Castellote

et al. 2023

Physiotherapy Res Intl

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“…Coma of unknown origin is a medical emergency than can be due to structural brain lesions, diffuse neuronal dysfunction, and, rarely, psychiatric causes [ 16 , 17 ] (Table 1 ). Following stabilization and supportive care, more so in the absence of TBI or cardiac arrest, clinicians must employ a detective-like approach to identify the underlying issue and treat potentially reversible causes.…”

Section: Diagnostic and Therapeutic Conundrums In Coma Of Unknown Originmentioning

confidence: 99%

Mastering the brain in critical conditions: an update

Robba,

Zanier,

Lopez Soto

et al. 2024

ICMx

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Acute brain injuries, such as traumatic brain injury and ischemic and hemorragic stroke, are a leading cause of death and disability worldwide. While characterized by clearly distict primary events—vascular damage in strokes and biomechanical damage in traumatic brain injuries—they share common secondary injury mechanisms influencing long-term outcomes. Growing evidence suggests that a more personalized approach to optimize energy substrate delivery to the injured brain and prognosticate towards families could be beneficial. In this context, continuous invasive and/or non-invasive neuromonitoring, together with clinical evaluation and neuroimaging to support strategies that optimize cerebral blood flow and metabolic delivery, as well as approaches to neuroprognostication are gaining interest. Recently, the European Society of Intensive Care Medicine organized a 2-day course focused on a practical case-based clinical approach of acute brain-injured patients in different scenarios and on future perspectives to advance the management of this population. The aim of this manuscript is to update clinicians dealing with acute brain injured patients in the intensive care unit, describing current knowledge and clinical practice based on the insights presented during this course.

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Sudden unresponsive patient with normal vital signs: what is going on?

Cited by 2 publications

References 64 publications

Safety and usability of the MAK exoskeleton in patients with stroke

Safety and usability of the MAK exoskeleton in patients with stroke

Mastering the brain in critical conditions: an update

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