Proceedings of the First Pediatric Coma and Disorders of Consciousness Symposium by the Curing Coma Campaign, Pediatric Neurocritical Care Research Group, and NINDS: Gearing for Success in Coma Advancements for Children and Neonates

Varina L Boerwinkle; Nina F Schor; Beth S Slomine; Erika Molteni; Jan-Marino Ramirez; Lindsey Rasmussen; Sarah N Wyckoff; Maria Jose Gonzalez; Kirsten Gillette; Michelle Elena Schober; Mark Wainwright; Jose I Suarez

doi:10.1007/s12028-023-01673-w

Proceedings of the First Pediatric Coma and Disorders of Consciousness Symposium by the Curing Coma Campaign, Pediatric Neurocritical Care Research Group, and NINDS: Gearing for Success in Coma Advancements for Children and Neonates

Neurocrit Care. 2023 Apr;38(2):447-469. doi: 10.1007/s12028-023-01673-w. Epub 2023 Feb 9.

Authors

Affiliations

¹ Department of Neurology, Division of Child Neurology, Section of Pediatric Neurocritical Care, and Boerwinkle Functional Neuroimaging and Neuroscience Laboratory, University of North Carolina Medical School, 170 Manning Dr, CB#7025, Chapel Hill, NC, 27599-7025, USA. Varina_Boerwinkle@med.unc.edu.
² National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.
³ Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, MD, USA.
⁴ Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
⁵ School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
⁶ Center for Integrative Brain Research, Department of Neurological Surgery, Seattle Children's Research Institute, University of Washington, Seattle, WA, USA.
⁷ Division of Pediatric Critical Care Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.
⁸ Division of Neuroscience, Barrow Neurological Institute at Phoenix Children's Hospital, Phoenix, AZ, USA.
⁹ Departments of Pediatrics, SBH Health System, Bronx, NY, USA.
¹⁰ Department of Neurology, Division of Child Neurology, Section of Pediatric Neurocritical Care, and Boerwinkle Functional Neuroimaging and Neuroscience Laboratory, University of North Carolina Medical School, 170 Manning Dr, CB#7025, Chapel Hill, NC, 27599-7025, USA.
¹¹ Division of Critical Care, Department of Pediatrics, University of Utah, Salt Lake City, UT, USA.
¹² Division of Pediatric Neurology, Department of Neurology, University of Washington, Seattle, WA, USA.
¹³ Division of Neurosciences Critical Care, Departments of Anesthesiology and Critical Care Medicine, Neurology, and Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Abstract

This proceedings article presents the scope of pediatric coma and disorders of consciousness based on presentations and discussions at the First Pediatric Disorders of Consciousness Care and Research symposium held on September 14th, 2021. Herein we review the current state of pediatric coma care and research opportunities as well as shared experiences from seasoned researchers and clinicians. Salient current challenges and opportunities in pediatric and neonatal coma care and research were identified through the contributions of the presenters, who were Jose I. Suarez, MD, Nina F. Schor, MD, PhD, Beth S. Slomine, PhD Erika Molteni, PhD, and Jan-Marino Ramirez, PhD, and moderated by Varina L. Boerwinkle, MD, with overview by Mark Wainwright, MD, and subsequent audience discussion. The program, executively planned by Varina L. Boerwinkle, MD, Mark Wainwright, MD, and Michelle Elena Schober, MD, drove the identification and development of priorities for the pediatric neurocritical care community.

Keywords: Coma; Covert consciousness; Disorders of consciousness; Neonatal; Neurocritical care; Pediatric; Resting state fMRI; Withdrawal of care.

Publication types

Review

MeSH terms

Child
Coma*
Consciousness
Consciousness Disorders*
Humans
Infant, Newborn
National Institute of Neurological Disorders and Stroke (U.S.)
United States