Schumacher woke up again? In fact, he was in an artificial coma before that.

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 Schumacher woke up again? In fact, he was in an artificial coma before that.


Pengchao journalist He Liping

Michael Schumacher, a famous German Formula One racing driver and legendary car king, finally woke up from a five-year coma. The news came to light on December 18.

The source of the screen brush came from the Daily Mail. On December 16, on the fifth anniversary of the skiing accident in the French Alps, the newspaper gave the latest report on the 50-year-old legend, trying to piece together the latest situation of Schumacher by standing around his 50 million pound house in Gland, a small town on Lake Geneva, Switzerland. Located between Geneva and Lausanne, Switzerland, with a population of only 13,000 people, the town has little knowledge of the superstar.

Unlike the screen-brushing wake-up, the Daily Mail reported that Schumacher was not bedridden, nor did he rely on infusion to maintain his life. He receives the most elaborate care and treatment and is expected to spend more than 50,000 pounds a week.

In the mystery of whether Schumacher woke up or not, an indispensable concern is the medical artificial coma. On the second day of the Schumacher accident, the hospital in charge of treatment at the University of Grenoble, France, at a press conference, introduced that Schumacher had been treated with this general anesthesia upgraded version of the measures, intended to protect the brain and give it sufficient recovery time.

But this kind of artificial coma is different from vegetative person in that it is used by clinicians only when patients suffer from extreme trauma. Generally speaking, when the doctor reduces the dosage of anesthetics or stops using them, the patient will gradually recover from the coma. Six months is the time limit for such measures.

Four and a half years ago he was reported to be out of coma

According to foreign media reports such as the New York Times in 2016, Schumacher woke up four and a half years ago, out of coma.

On December 29, 2013, Schumacher and his 14-year-old son, Mick Schumacher, had an accident while skiing in the French Alps. His head hit a rock. Several head injuries caused blood clots, causing serious brain damage. According to the accident was sent to the University of Grenoble Hospital in France the next day, said, If there is no helmet protection, he is now dead.

At that time, the hospital also disclosed that in order to facilitate the recovery, Schumacher implemented an artificial coma. Schumacher recovered from a five-month artificial coma after two life-threatening operations, the Daily Mail reported.

On June 16, 2014, nearly half a year after the Schumacher accident, his family said in a statement that he is no longer comatose but will continue his long recovery period and leave the University of Grenoble Hospital in France after the skiing accident. The family said in a statement at the time that future recovery will be far from the publics perspective. But then it was revealed by foreign media that Schumacher was transferred to the University of Lausanne Hospital in Switzerland, closer to his home in Gland town.

According to the Daily Mail, Rolf, the father who visited Schumacher regularly in Switzerland, confirmed that Schumacher was currently in the luxury house in Gland town and had not been transferred to a brain hospital in the United States by Schumachers wife, Corina, as rumored, at least not yet.

According to Bravo, a German magazine, Schumacher was transferred to a brain clinic in Dallas, USA, where he received special brain injury recovery treatment. We have a lot of experience in dealing with patients with similar injuries, the clinics director told Bravo. Perhaps no clinic in Europe has dealt with so many of our cases.

It is worth mentioning that since the accident in Schumacher, the Schumacher family has rarely disclosed their specific health status to the outside world. In a statement issued on June 16, 2014, it was requested that the news media continue to respect Schumachers privacy. To prevent journalists from trying to track Schumachers whereabouts, the family asked them to end their vigil at the University Hospital in Grenoble.

After Schumacher moved to hospital in 2014, some medical records about Schumacher were stolen and sold to the media for 40,000. The person suspected of stealing records came from a medical company that transported Schumacher and was subsequently arrested. In 2015, a photograph of Schumacher taken at home by a friend was charged 1 million. German prosecutors called it a violation of his private life and a violation of privacy laws. The photograph has never been published.

Schumachers Medical Artificial Coma

It is worth noting that, as mentioned above in the hospital of Grenoble University in France, after Schumachers accident, the hospital implemented artificial coma, which is actually a medical intervention after severe brain trauma, different from other vegetative state after brain trauma.

The so-called coma refers to the unconscious state that lasts for more than six hours. In this state, people will not react to external stimuli of sound, light and pain, nor can they be awakened, let alone make independent movements. Coma often occurs when the brain is severely damaged. For the purpose of self-protection, the body actively shuts down all the conscious responses except the basic vital signs such as breathing, giving the brain enough time to repair the trauma smoothly.

Generally speaking, this self-entry coma lasts for 2-5 weeks, and then the patient will naturally wake up. The survival rate of patients with coma longer than this time is not high statistically. Even if they survive, they are likely to enter a permanent vegetative state.

The so-called medical artificial coma, according to Chen Haixu, deputy researcher of the Second Medical Center of PLA General Hospital, is that anesthesiologists control the dosage of drugs to give patients deep anesthesia, so that patients in coma state can better protect the injured brain. The aim is to alleviate inflammation and intracranial pressure in the brain of patients, reduce the metabolic needs of the brain and help rehabilitation.

Generally speaking, this effective shutdown of brain function can only be activated in extreme traumatic situations.

Why does this approach work clinically? The scientific basis for the answer lies behind general anesthesia. A review article (General Anesthesia, Sleep, and Coma) in the top medical journal NEJM describes that medical artificial coma is essentially a reversible anesthesia. The general anesthesia used in common operations is actually a reversible anesthesia, the dosage of which is only different.

Closing the function in the artificial coma state allows the patients brain time to recover. If a patient has brain damage, the metabolism of the brain changes dramatically, and parts of the brain may not have enough blood supply. At this time, doctors are thinking about reducing the energy needed by the patients brain. If this can be done, as the brain heals and swelling subsides, perhaps those areas of the brain at risk can be protected.

But unlike normal coma, medical artificial coma is reversible. Once the doctor stops taking the medicine, the patient can still wake up later.

However, such measures are not without risks. Generally speaking, the main function of these drugs outside the brain is to lower blood pressure. So doctors also try to maintain blood pressure and heart beat with a lot of other drugs. In addition, although on the one hand it protects the patients brain, on the other hand, the brain can no longer get the blood it needs. In addition, it is worth noting that the systemic side effects of long-term medical artificial coma include the possibility that patients may completely lose their respiratory power, intestinal motility and so on. If the patient is in a medical artificial coma for a long time, the drug will accumulate and it may take some time to clear the body system. Generally speaking, half a year is the limit of the duration of medical artificial coma. It depends on the patients progress and nature of the injury. If the swelling subsides, the doctor may try to reduce the coma, see if the patient can wake up and observe the level of brain function. Source: Wang Fengzhi _NT2541

However, such measures are not without risks. Generally speaking, the main function of these drugs outside the brain is to lower blood pressure. So doctors also try to maintain blood pressure and heart beat with a lot of other drugs. In addition, although on the one hand it protects the patients brain, on the other hand, the brain can no longer get the blood it needs. In addition, it is worth noting that the systemic side effects of long-term medical artificial coma include the possibility that patients may completely lose their respiratory power, intestinal motility and so on.

If the patient is in a medical artificial coma for a long time, the drug will accumulate and it may take some time to clear the body system.

Generally speaking, half a year is the limit of the duration of medical artificial coma. It depends on the patients progress and nature of the injury. If the swelling subsides, the doctor may try to reduce the coma, see if the patient can wake up and observe the level of brain function.