The Knight Antonius Block: I want knowledge!…
Study provides insight into the neurobiology of dying. Investigators performed continuous patient monitoring following Do Not Resuscitate - Comfort Care orders in patients with devastating brain injury to investigate the mechanisms and timing of events in the brain and the circulation during the dying process.
{ ScienceDaily | Continue reading }
Oxygen deprivation results in brain injury. For years, researchers have been studying the underlying processes in animals: within 20 to 40 seconds, the brain enters an ‘energy-saving mode’ - it becomes electrically inactive, and all interneuronal communication ceases. Within a few minutes, the brain’s fuel reserves have become depleted that maintain the uneven distribution of ions between the inside and outside of nerve cells, and the ion gradients start to break down. This breakdown takes the form of a massive wave of electrochemical energy release in the form of heat, which is known as ’spreading depolarization’. More vividly described as a ‘brain tsunami’, this energy loss spreads through the cortex and other areas of the brain, triggering pathophysiological cascades which gradually poison the nerve cells. Importantly, this wave remains reversible up to a certain point in time: nerve cells will recover fully if circulation is restored before this point is reached. However, if circulation remains disrupted, the cells will die. Until now, recordings of electrical brain activity obtained from human subjects have been of limited applicability, and experts have been divided as to the transferability of results from animal-based research. […]
“We were able to show that terminal spreading depolarization is similar in humans and animals. Unfortunately, the research community has been ignoring this essential process of central nervous system injury for decades, all because of the mistaken assumption that it does not occur in humans,” explains Prof. Dreier.
paint on plaster { Eduardo Paolozzi, Targets, 1948 }
