Increased Alertness in Comatose Patient After Osteopathic Manipulative Treatment: A Case Report

Q4 Health Professions
April E. Garcia, Kaelen Kay, Matthew X. Perera, Eric S. Martinez, Stella Onyi, Bobby Nourani, Brian Loveless
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引用次数: 0

Abstract

There are very few reports regarding the use of osteopathic manipulative treatment (OMT) in the intensive care unit (ICU) setting for a comatose patient. This case report presents an instance where OMT was implemented after the patient remained comatose for 18 days and was being considered for terminal weaning due to their prolonged unconsciousness. The patient’s prolonged comatose state caused concerns about irreversible neurological damage, and as such, end-of-life decisions were being considered. OMT was administered in an effort to stimulate the patient’s alertness and reduce the patient’s allostatic load. The patient regained consciousness within ten hours after OMT was administered, suggesting a potentially significant role for OMT in the patient’s recovery. This case underscores the potential for OMT to be used in the ICU as a safe and feasible approach to enhance patient outcomes. Although only a single example of effective treatment, the results of this case study suggest that further research into the role of OMT in comatose patient recovery and OMT’s broader implications in critical care are warranted.
骨科手法治疗后昏迷患者的警觉性提高:病例报告
关于在重症监护室(ICU)环境中对昏迷患者使用整骨疗法(OMT)的报道寥寥无几。本病例报告介绍了在患者昏迷 18 天后,由于其昏迷时间过长,考虑对其进行终末期断流治疗时使用整骨疗法的一个实例。患者的长期昏迷状态引起了对不可逆转的神经损伤的担忧,因此正在考虑生命终结的决定。为了刺激病人的警觉性并减轻病人的异位负荷,对其实施了局部麻醉。在实施 OMT 治疗后 10 小时内,患者恢复了意识,这表明 OMT 在患者的康复过程中可能发挥了重要作用。该病例强调了在重症监护病房使用 OMT 作为一种安全可行的方法来改善患者预后的潜力。虽然这只是一个有效治疗的实例,但本病例研究的结果表明,有必要进一步研究 OMT 在昏迷患者康复中的作用以及 OMT 在重症监护中的广泛意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
AAO Journal
AAO Journal Health Professions-Complementary and Manual Therapy
CiteScore
0.10
自引率
0.00%
发文量
23
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