this post was submitted on 02 Apr 2024
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New research into the dying brain suggests the line between life and death may be less distinct than previously thought

Patient One was 24 years old and pregnant with her third child when she was taken off life support. It was 2014. A couple of years earlier, she had been diagnosed with a disorder that caused an irregular heartbeat, and during her two previous pregnancies she had suffered seizures and faintings. Four weeks into her third pregnancy, she collapsed on the floor of her home. Her mother, who was with her, called 911. By the time an ambulance arrived, Patient One had been unconscious for more than 10 minutes. Paramedics found that her heart had stopped.

After being driven to a hospital where she couldn’t be treated, Patient One was taken to the emergency department at the University of Michigan. There, medical staff had to shock her chest three times with a defibrillator before they could restart her heart. She was placed on an external ventilator and pacemaker, and transferred to the neurointensive care unit, where doctors monitored her brain activity. She was unresponsive to external stimuli, and had a massive swelling in her brain. After she lay in a deep coma for three days, her family decided it was best to take her off life support. It was at that point – after her oxygen was turned off and nurses pulled the breathing tube from her throat – that Patient One became one of the most intriguing scientific subjects in recent history.

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In the moments after Patient One was taken off oxygen, there was a surge of activity in her dying brain. Areas that had been nearly silent while she was on life support suddenly thrummed with high-frequency electrical signals called gamma waves. In particular, the parts of the brain that scientists consider a “hot zone” for consciousness became dramatically alive. In one section, the signals remained detectable for more than six minutes. In another, they were 11 to 12 times higher than they had been before Patient One’s ventilator was removed.

“As she died, Patient One’s brain was functioning in a kind of hyperdrive,” Borjigin told me. For about two minutes after her oxygen was cut off, there was an intense synchronisation of her brain waves, a state associated with many cognitive functions, including heightened attention and memory. The synchronisation dampened for about 18 seconds, then intensified again for more than four minutes. It faded for a minute, then came back for a third time.

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[–] [email protected] 41 points 7 months ago (2 children)

Something that might be related is the burst of functionality that mammals seem to get, just before dying. In pack animals, an otherwise crippled animal can get up and leave the den. Biologically, this is to get the dead body away from the den site.

Something similar can happen in humans. A dying patient will suddenly perk up and seem to make a miraculous recovery. Nurses unfortunately know that this is false. The patent will burn out and crash soon after. Patents in this state apparently get a feeling of impending doom. This is likely what drives other mammals from the den/nest site.

What they are seeing might be related to this. The brain gives up on survival, in order to try and not risk the health of family members. Often the damage would be too severe, and so the patient doesn't wake up. They just get a burst of neural activity as priorities suddenly change.

[–] [email protected] 3 points 7 months ago* (last edited 7 months ago)

This seems very plausible and evolutionarily justified