Airway management and mechanical ventilation in acute brain injury.

Document Type

Article

Publication Date

1-1-2017

Institution/Department

Critical Care

Journal Title

Handbook of clinical neurology.

MeSH Headings

Airway Management, Brain Injuries, Humans, Respiration, Artificial, Respiratory Insufficiency

Abstract

Patients with acute neurologic disease often develop respiratory failure, the management of which profoundly affects brain physiology and long-term functional outcomes. This chapter reviews airway management and mechanical ventilation of patients with acute brain injury, offering practical strategies to optimize treatment of respiratory failure and minimize secondary brain injury. Specific concerns that are addressed include physiologic changes during intubation and ventilation such as the effects on intracranial pressure and brain perfusion; cervical spine management during endotracheal intubation; the role of tracheostomy; and how ventilation and oxygenation are utilized to minimize ischemia-reperfusion injury and cerebral metabolic distress.

ISSN

0072-9752

First Page

15

Last Page

32

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