Can weak spontaneous breathing be restored?

Can weak spontaneous breathing be restored?

We all know that for some people with respiratory diseases, they will feel difficulty breathing when the weather is cold, so such people are most afraid of winter. In winter, they will stay in the warm room all winter and will not go out. They also often need an oxygen tank indoors. When they are sick, their breathing will be very weak, and not breathing oxygen may cause shock. So can weak spontaneous breathing be restored?

cannot. The human body's respiratory center is located in the brainstem, so damage to the brainstem function will directly lead to respiratory cessation. The brain stem will permanently and completely lose its function, resulting in irreversible loss of respiratory function. There is no spontaneous breathing (maintained by a ventilator, positive apnea test), the electroencephalogram is flat, the transcranial Doppler ultrasound shows a brain death pattern, and there is no change after 12 hours of observation, which can be confirmed as brain death. Brain death referred to clinically is brainstem death, which is the standard for declaring death based on the permanent loss of function of the brainstem or the central nervous system above the brainstem.

The brain tissue of a brain-dead human body is composed of three parts: the cerebrum, cerebellum and brain stem. The brain stem is the life center of the human body, which controls important functions such as breathing, heartbeat, blood pressure, etc. Cells in some parts of the human body can restore their function through regeneration after being damaged, but brain cells are different: once necrotic, they cannot regenerate. Therefore, when a person's brain stem suffers irreversible damage, the brain stem will permanently and completely lose its function, causing breathing and heartbeat to stop. Subsequently, other organs and tissues in the body will gradually lose function due to the lack of breathing and heartbeat.

Brain death referred to clinically is brainstem death, which is the standard for declaring death based on the permanent loss of function of the brainstem or the central nervous system above the brainstem. Brain death is different from a "vegetative state". The brainstem function of a "vegetative state" is normal, and coma is only caused by severe damage to the cerebral cortex or a sudden inhibition state. The patient can have spontaneous breathing, heartbeat and brainstem response, while brain death has no spontaneous breathing and is permanent and irreversible. China's diagnostic criteria for brain death: Brain death is an irreversible state of loss of all brain functions, including the brainstem. Prerequisites include: clear cause of coma and exclusion of reversible coma due to various reasons. Diagnostic criteria: deep coma, disappearance of all brainstem reflexes, and no spontaneous breathing. All of the above must be present. Brain death is now considered an irreversible state of loss of all brain functions, including the brainstem. The patient's clinical symptoms include deep coma, disappearance of all brainstem reflexes, no spontaneous breathing (maintained by a ventilator, positive apnea test), flat electroencephalogram, transcranial Doppler ultrasound showing brain death pattern, and no changes after 12 hours of observation before brain death can be confirmed. Brain dead people cannot be saved, but they are good for organ transplantation

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