Abordarea unui pacient cu comă de etiologie necunoscută |[Approaching a patient with coma of unknown ethiology]

Abstract

In a hypercapnic patient, the decision of orotracheal intubation and mechanical ventilation takes into account the benefits of ventilator support, but also its drawbacks, since mechanical ventilation can last from a few days to weeks. Extubation of a patient is performed safely when he/she is ready to resume the spontaneous respiratory cycle, is conscious, cooperative, able to cough, and the hemodynamic parameters are stable. There must also be a multidisciplinary team to provide adequate nursing and effective respiratory physiokinetotherapy. We will present the case of a man with unknown pathology who came into the Emergency Arrivals Unit with a very serious general state having respiratory insufficiency and a tendency to collapse, requiring orotracheal intubation and mechanical ventilation. After multiple investigations, interdisciplinary consultations, and prolonged mechanical ventilation, the broncho-pulmonary neoplasm was declared the main cause of general degradation.