Doctors primarily wake someone up from a medically induced coma by carefully reducing and eventually stopping the coma-inducing medication.
Here's a breakdown of the process:
- Reducing Medication: The initial step involves gradually decreasing the dosage of the drugs that initially induced the coma.
- This controlled reduction allows the patient to wake up slowly and minimizes potential complications.
- Weaning from Ventilation: Simultaneously, doctors aim to wean the patient off the ventilator.
- They will transition the ventilator to a mode that encourages the patient to breathe independently, strengthening their respiratory muscles. The goal is to eventually remove the ventilator completely, allowing the patient to breathe on their own.
According to reference, "To end the coma, doctors begin reducing the medication that placed the patient in the coma in the first place. This allows the patient to wake up gradually. The goal remains to eventually withdraw the medication completely and change the ventilator to a mode that allows the patient to develop breathing on their own."