Re: Nociassociation = neurogenic shock caused by the emotional distress the results from excruciatinDear Radium,
How is it they can detect this in deep coma victims? I may be barking up the
wrong tree, but are you suggesting that if there is no brain activity as in
a flat EEG, that feelings and emotions are still taking place? I would be
concerned about this in cases where a loved one is pulled off life support
with a flat EEG. This one could have many of us (myself included) second
guessing exactly what the definition of humane treatment and death with
dignity really mean. I'm curious where you draw the line on when the plug
should be pulled. I meant it's obvious in situations with years of agony
awaiting one, as to what and when the right choice would be.
I don't know what kind of feedback you been getting but I find this pretty
interesting. Though some may be a bit over my head, a surgeon is a moron for
not using a local just because a general's being used. That's the best time
and place they can have to numb the entire area they're working on and I'm
sure most bill for it and it rarely gets done. That could be the key to
unlocking "intractable pain" post operatively. If the patient retains a
subconscious memory of the surgical experience, it could very well just be
in a patient's mind, but it's too late then, it should have been fixed
before the carving began.
Even if it has me second guessing some important decisions in my life, this
is some very interesting stuff.
Have a painless day--og
"Radium" <glucegen1@excite,com > wrote in message
news:1171261758.742707.284130@s48g2000cws.googlegroups,com ...
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>
> "nociassociation = the unconscious discharge of nervous energy under
> the stimulus of trauma, as in surgical shock."
>
> This means a patient under general anesthesia can still experience
> shock as a result of the nociception that results from the physical
> injuries that occur during the surgery.
>
> Just because you aren't aware of the pain doesn't mean it isn't
> significantly affecting your emotions and autonomic nervous system.
>
> Pain can kill even the the victim doesn't feel it. While may not be
> felt consciously, the unconscious still feels it. As a result,
> excruciating pain can screw-up the nervous system enough to cause
> shock -- and even death -- even if the victim is totally unconscious.
>
> Even during the deepest coma, emotions -- such as fear -- can remain
> active, its just that the patient isn't aware of it.
>
> Hence, when a unconscious patient is operated on, the nociception
> causes pain. This pain causes tremendous emotional distress. The
> emotional distress causes neurogenic shock, even though the patient is
> not aware of -- and does not consciously feel -- the distress or the
> pain.
>
> These psychoneurophysiological effects of nociception can cause a
> potentially-fatal shock reaction even if:
> 1. There is minimal or no bleeding
> 2. No infection occurs
> 3. The patient isn't aware of the pain or emotional distress cause by
> the pain
> 4. There is no injury to any vital organ[s]
>
> This shock is call nociassociation and cannot be prevented even by the
> most powerful general anesthetics or sedatives put together.
>
> My point is that inducing unconsciousness might prevent the surgery-
> patient from perceiving the suffering caused by his/her injuries but
> this does not prevent the subconscious elements of the nervous system
> from feeling the agony. The subconscious parts of the nervous system
> -- which are concerned with emotions and regulate the
> circulatory system -- can still feel the intense emotional suffering
> caused by the nociception. The extreme emotional distress caused by
> the severe pain results in neurogenic shock. Nociassociative
> neurogenic shock is marked by the following extreme changes in the
> circulatory system:
>
> 1. Force of the heart muscles' contractions decrease significantly
> 2. Heart rate decreases dramatically.
> 3. General increase in the heart muscles' relaxability
> 4. Blood vessels throughout the body widen to total dilation
>
> The above 4 conspire to cause a lethal drop in blood pressure. As a
> result, vital organs are deprived of blood leading to multiple-organ-
> failure. This can rapidly kill the patient.
>
> This means, the subconscious parts of the nervous system must somehow
> be temporarily disconnected from pain perception prior to and during
> the surgical operation.
>
> In order for the surgery not to result in a likely-fatal
> nociassociation, the patient's entire autonomic nervous system [and
> their effectors], limbic system [emotion], his/her heart's natural
> pacemaker, smooth muscles, reflexes [all types; including reflexes not
> involved with the autonomic nervous system], endocrine and hormonal
> systems must be rendered totally unresponsive to the infliction of
> even the most excruciating pain and totally unresponsive to any type
> of injury.
>
> The best way to do this is to locally-anesthetize all sensory-
> receptors and sensory nerves at the site of the operation before the
> surgery and make sure they are completely numb throughout the surgery
> and for at
> least 15 minutes after the surgery is complete. After 15 minutes the
> sensory-receptors and sensory nerves at the affected site should be
> allowed to *gradually* resume activity. It should take at least an
> additional hour for these sensory receptors and nerves to regain
> complete "wakefuleness". This will prevent the root-cause of
> nociassociation.
>
> Note: nociassociation is one of the major reasons that martial-arts
> relies on pain-sensitive areas of the body as targets. This is how a
> punch to the solar plexus can kill.
>
> Any questions/comments are welcome
>
>
> Thanks,
>
> Radium
>