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100 blockage, open artory procedure, wake up from sedative - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
If a person has a heart attack due to 100 blockage of main artory and it takes the paramedics 30 minutes to get the heart going again, and the person has a procedure to open up the artory, how long does it take to wake up from the sedative the patient is on before the patient wakes up. The medicine was tritated down 36 hours ago. The patient has not woke up yet and there are no signs of fine motor skills.
Doctor :   Hi,
Doctor :   May i know his GCS ( Glassgow Coma Scale ) ?
User :   I don't know that.
Doctor :   Ask the treating doctor , if the GCS is above 6 the need not worry , it means he is under sleep
Doctor :   also the persons reflexes are important at this time
Doctor :   have to be checked to know the functioning of the autonomous nervous system ( involuntary system )
User :   When the nurse pushes on her sterum, her eyes will blink. They are also talking about doing a brain scan soon. It has only been since this past Monday night since the person have the heart attack. Is it too soon to tell the damage to the heart and brain?
Doctor :   no the possibilities of the brain damage are likely
Doctor :   and the 30 minute gap between the attack and the treatment is very much enough to cause such a damage
User :   So the brain scan tells the damage to the brain, but does that have anything to do with her not waking up?
Doctor :   yes, the consciousness is maintained by the frontal cortex and the mid brain , any ischemia in these parts can lead to such presentation
User :   Thank you for your assistance.
Doctor :   You are welcome
Doctor :   Thanks for consulting
Doctor :   Kindly provide your feedback
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