Sep 18, 2019 09:34
5 yrs ago
15 viewers *
Italian term

finestra neurologica

Italian to English Medical Medical (general)
I can find the meaning of this phrase in Italian but can't find the English translation. This is when drugs are stopped being administered to a patient (the one in this case is sedated, not sure if this is relevant) so that neurological function tests can be performed.

Discussion

Joseph Tein Sep 18, 2019:
Context It would be helpful if you provided at least the complete sentence where the term occurs with your initial question, so that people don't have to remind you to provide more context.
Emily Scott (asker) Sep 18, 2019:
Patient is sedated after complications during elective surgery (ruptured left coronary artery), at this point is on continuous renal replacement therapy and assisted ventilation
Emily Scott (asker) Sep 18, 2019:
Sure "Procedo a sospensione di propofole curare per iniziare finestra neurologica." - I'm afraid that's all there is.
Fiona Grace Peterson Sep 18, 2019:
More context needed More context is needed. Can you post some of the text?

Proposed translations

+2
1 hr
Selected

interruption of sedation

Based on the information you've provided, this is my best guess. Also known as "sedation vacation" or "sedation holiday".

"Daily interruptions of sedation ("sedation holiday" or "sedation vacation") became the standard of critical care for weaning from mechanical ventilation in ICUs around the world after J.P. Kress et al's landmark 2000 New England Journal of Medicine paper showing daily sedation interruptions freed ~64 patients from ventilators an average of 2 days sooner, and shortened ICU stays by 3.5 days, without safety risks, compared to ~64 patients getting usual care."
https://pulmccm.org/randomized-controlled-trials/sedation-va...

"Daily breaks from sedative infusions have been shown to decrease mortality and shorten hospital stays. Studies have shown that both lighter sedation and daily sedation holidays for mechanically ventilated patients lower the risk of mortality and complications, such as drug-induced delirium or ventilator associated pneumonia.
Sedation holidays can help avoid drug accumulation and oversedation. They may allow your patient time to reorient, and even reduce psychological trauma from critical care stresses. Finally, they may provide you with an important opportunity to assess your patient’s neurological and respiratory status, as well as his or her readiness to be weaned from sedation and mechanical ventilation."
https://www.medtronic.com/covidien/en-us/clinical-solutions/...
Note from asker:
Thanks Fiona, although sedation isn't being paused to help the patient recover (but for the doctors to carry out neurological function tests), this seems to be on the right lines :)
Peer comment(s):

agree EirTranslations
2 hrs
agree Luigi Argentino
4 hrs
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4 KudoZ points awarded for this answer.
47 mins

window of opportunity

window of opportunity is the translation of german
Neuronale Fenster (auch genannt: „windows of opportunity“: - https://de.wikipedia.org/wiki/Neuronales_Fenster
The brain acquires certain skills—from visual perception to language—during critical windows, specific times in early life when the brain is actively shaped by environmental input. - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3574806/
A window of opportunity (also called a margin of opportunity or critical window) is a period of time during which some action can be taken that will achieve a desired outcome. - https://en.wikipedia.org/wiki/Window_of_opportunity
The critical period in the development of an organism, during which neuroplasticity is greatest and key neurological functions, such as imprinting and language - the same link
La modalità della risposta porta al concetto di “finestra neurologica”. Le finestre neurologiche valutano la presenza di determinate risposte a determinati stimoli e, in base a questo, valutano lo stato di coma. - http://www.ilsovranista.it/stati-di-coma-tra-percezione-e-ri...
Examples of windows of opportunity include: The critical period in the development of an organism, during which neuroplasticity is greatest - https://wikivisually.com/wiki/Window_(disambiguation)
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47 mins

neurological window

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48 mins

"neurological window"

Hi Emily, not totally sure, but in case it helps I've found this: https://books.google.co.uk/books?id=RavyCAAAQBAJ&pg=PA321&lp...

:-) Claudia
Note from asker:
Hi Claudia, thanks for this but as the book was written by an Italian (or perhaps was even translated from Italian) I don't deem this to be reliable :/
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1 hr

wake-up test

A 'wake-up test' is a related concept to check out, unfortunately I don't have much time today :-(( sorry!
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