What about Pain in Disorders of Consciousness?

The management and treatment of acute pain is very difficult in non-communicative patients with disorders of consciousness ( i.e. , vegetative state/unresponsive wakefulness syndrome (VS/UWS) and minimally conscious state), creating an ethical dilemma for caregivers and an emotional burden among bot...

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Bibliographic Details
Published in:The AAPS journal Vol. 14; no. 3; pp. 437 - 444
Main Authors: Schnakers, C., Chatelle, C., Demertzi, A., Majerus, S., Laureys, S.
Format: Journal Article
Language:English
Published: Boston Springer US 01.09.2012
Springer
Subjects:
Biochemistry
Biomedical and Life Sciences
Biomedicine
Biotechnology
Consciousness Disorders - complications
Human health sciences
Humans
Neurologie
Neurology
Neurosciences & behavior
Neurosciences & comportement
Pain - complications
Pain Management
Pharmacology/Toxicology
Pharmacy
Review
Review Article
Sciences de la santé humaine
Sciences sociales & comportementales, psychologie
Social & behavioral sciences, psychology
nociception
pain
consciousness
minimally conscious state
vegetative state
ISSN:1550-7416, 1550-7416
Online Access:Get full text
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Summary:The management and treatment of acute pain is very difficult in non-communicative patients with disorders of consciousness ( i.e. , vegetative state/unresponsive wakefulness syndrome (VS/UWS) and minimally conscious state), creating an ethical dilemma for caregivers and an emotional burden among both relatives and caregivers. In this review, we summarize recent findings about the neural substrates of nociception and pain in VS/UWS patients as well as recent behavioral assessment methods of nociception specifically designed for patients in altered states of consciousness. We will finally discuss implications for pain treatment in these patients.
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scopus-id:2-s2.0-84862756013
Guest Editor: Marilyn Martinez
ISSN:1550-7416
1550-7416
DOI:10.1208/s12248-012-9346-5