Rare Diseases Symptoms Automatic Extraction
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Perioperative use of bispectral (BIS) monitor for a pressure ulcer patient with locked-in syndrome (LIS).
[locked-in syndrome]
The
bispectral
(
BIS
)
monitor
uses
brain
electroencephalographic
data
to
measure
the
depth
of
sedation
and
pharmacological
response
during
anaesthetic
procedures
.
In
this
case
,
the
BIS
monitor
was
used
for
another
purpose
,
to
demonstrate
postoperatively
to
the
nursing
staff
that
a
patient
with
history
of
locked-
in
syndrome
(
LIS
)
,
who
underwent
pressure
ulcer
debridement
,
had
periods
of
wakefulness
and
apparent
sensation
,
even
with
his
eyes
closed
.
Furthermore
,
as
patients
with
LIS
can
feel
pain
,
despite
being
unable
to
move
,
local
block
or
general
anaesthesia
should
be
provided
for
sharp
surgical
debridement
and
other
painful
procedures
.
This
use
of
the
BIS
has
shown
that
as
a
general
rule
,
the
staff
should
treat
the
patient
as
though
he
might
be
awake
and
sensate
even
if
he
does
not
open
his
eyes
or
move
his
limbs
.
The
goal
of
this
study
was
to
continuously
monitor
pain
level
and
communicate
these
findings
to
the
entire
wound
team
,
i
.
e
.
anaesthesiologists
,
surgeons
and
nurses
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated