Oud Formule 1 dokter Gary Harstein geeft op Twitter meer uitleg over de medische zaken omtrent Michael Schumacher. Gezien mijn gebrek aan medische kennis laat ik de tweets in het Engels.
It's quite well known that extradural hematomas, a kind of cerebral hemorrhage, can leave a lucid interval after injury
— Gary Hartstein (@former_f1doc) 29 december 2013
Then as the hematoma forms, the sudden increase in pressure causes sudden and dramatic symptoms. Pressure must be relieved rapidly.
— Gary Hartstein (@former_f1doc) 29 december 2013
This is done with a neurosurgical intervention. Then the victim is observed in an ICU environment
— Gary Hartstein (@former_f1doc) 29 december 2013
Quality of recovery depends on: 1) severity of initial injury 2) acuteness and amplitude of pressure rise when hematoma forms…
— Gary Hartstein (@former_f1doc) 29 december 2013
3) rapidity with which it is drained 4) quality of neuro intensive care and rehab
— Gary Hartstein (@former_f1doc) 29 december 2013
About the "induced coma". Lets demystify it just a bit. Any severe head injury leads to a loss of coordination of tongue and throat muscles
— Gary Hartstein (@former_f1doc) 29 december 2013
Happens to some when they sleep – called SNORING. But this is reapiratory obstruction and causes CO2 to rise and oxygen to fall.
— Gary Hartstein (@former_f1doc) 29 december 2013
But the brain wants oxygen and hates CO2. So we put tubes in these patient's tracheas and use reapirators. This protects the airway
— Gary Hartstein (@former_f1doc) 29 december 2013
And gives excellent control of ventilation and oxygenation. But to intubate someone, he or she needs to be pretty deeply anesthetised
— Gary Hartstein (@former_f1doc) 29 december 2013
So this is the usual "artificial coma". It IS a induced coma, but in fact it's like a prolonged, protective, anesthetic.
— Gary Hartstein (@former_f1doc) 29 december 2013