J Trauma Acute Care Surg 2021 May 5. Epub 2021 May 5.
Professor Emeritus, University of California, San Francisco; Professor, Department of Pathology, University of Michigan Medical School; Director of Research, U.S. Army Institute of Surgical Research, JBSA-Ft Sam Houston, San Antonio, TX, and Professor of Medicine, Uniformed Services University, Bethesda MD; Wellstar Pulmonary and Critical Care Medicine, Marietta, GA; Professor, Department of Anesthesiology and Perioperative Medicine and Bioengineering, University of Pittsburgh, Pittsburgh, PA; Assistant Professor, Laboratory Medicine Program and Department of Medical Oncology & Hematology, University Health Network, University of Toronto, Ontario, Canada;
Abstract: Prior to death patients commonly experience impaired consciousness for a significant period of time, frequently preventing family and others from final interactions with the patient. Some of these episodes of cognitive impairment may be treatable, with treatment not offered owing to the perception of ultimate futility, or expense, or both. One of the causes of terminal loss of consciousness or decreased lucidity can be inadequate cerebral oxygen delivery. Read More