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Coma Scales. The primary goal of the neurologic examination in an unresponsive patient is to localize the lesion and thereby narrow the differential diagnosis. The examination should proceed in a stepwise fashion and be familiar to the neurologist because of constant repetition.
In clinical practice, however, decisions to change the analgesic dose or drug for an individual patient are based on non response to the existing treatment. We sought to develop a working definition of nonresponse to analgesic treatment, focusing on the measurement of pain with the 0â100âmm visual analog scale (VAS).n clinical practice, however, decisions to change the analgesic dose or drug for an individual patient are based on non response to the existing treatment. We sought to develop a working definition of nonresponse to analgesic treatment, focusing on the measurement of pain with the 0â100âmm visual analog scale (VAS).