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Assessment of consciousness in the ICU
In this review published in Critical Care, we gather current knowledge about consciousness disorders useful for the ICU physician. …
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DoC Feeling : L’intelligence collective des soignants appliquée au diagnostic des états de conscience altérée
Notre étude publiée dans le BMJ open [1] démontre que l’appréciation subjective des soignants (infirmiers et aides-soignants) concernant l’état de conscience des patients représente une réelle valeur ajoutée aux diagnostics médicaux et aux examens d’électrophysiologie et d’imagerie cérébrale classiques. …
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Probing brain activity under deep sedation
Probing brain activity under deep sedation: Our paper entiteled “Mismatch negativity to predict subsequent awakening in deeply sedated critically ill patients” showing how event related potentials can help monitor brain dysfunction and predict further awakening of deeply sedated ICU patients is out on the British Journal of Anaesthesia website and as a postprint here. …
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How pooling Nurses’ insights can improve Diagnosis accuracy of altered states of Consciousness
Pooling opinions from several individuals has been previously shown to outperform individual judgements in specific settings. Recently, there has been a growing interest for this kind of approach (called “collective intelligence” or “wisdom of the crowds”) in the medical field, especially in diagnosis procedure (e.g., diagnosis of skin cancer, mammography screening, etc …) [1–4]. …
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On the impact of Cognitive Biases on difficult medical decisions
Our editorial entitled “Decision making in perceived devastating brain injury: a call to explore the impact of cognitive biases” related to the new guidelines on the management of perceived devastating brain injury (available here) is online on the British Journal of Anaesthesia website and as a postprint here. …
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The Glasgow Outcome Scale Extended (GOS-E)
Jennett and Bond proposed the first version of the Glasgow Outcome Scale in 1975, defining 5 categories of possible outcomes after a brain injury (1): …
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Does detecting a Minimally Conscious State in the ICU matter ?
Our paper entitled “Survival and consciousness recovery are better in the minimally conscious state than in the vegetative state” showing how much it is important to detect Minimally Conscious State (MCS) even early after a brain injury (here <90 days in the ICU) is available online on Brain Injury. …
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Improving assessment of consciousness using brain/heart interactions
How can we know if a patient is conscious when he/she is unable to communicate? …
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Disentangling conscious from unconscious cognitive processing with event-related EEG potentials
In this paper we present the respective EEG markers of unconscious and conscious processing of two classes of auditory stimuli (sounds and words). …
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Probing Consciousness in a case of Deafferented Locked-in Syndrome
Our paper entitled “Probing consciousness in a sensory-disconnected paralyzed patient”, showing how advanced EEG methods can help clinicians to probe consciousness in an extreme case, - named “Deafferented Locked-in Syndrome”, - is available online on Brain Injury. …
Benjamin Rohaut
Neuro Intensivist & Scientist exploring Consciousness and Brain Dysfunction in the ICU