Apoyo ventilatorio en pacientes con patología aguda del sistema nervioso central / Ventilatory support in patients with head injuries
Rev. méd. Chile
;
127(2): 211-21, feb. 1999. ilus, tab
Artigo
em Espanhol
| LILACS
| ID: lil-243782
ABSTRACT
Patients with severe head injury are prone to pulmonary complications that result in hypoxemia or hypercarbia, which could worsen their neurological condition. A rational ventilatory approach requires a good knowledge of respiratory and neurological pathophysiology. Airway management is of prime importance in neurological patients. Prophylactic chronic hyperventilation in head trauma is no longer recommended since it could impair cerebral perfusion, although transient hypocarbia could be of benefit to some patients. The use of low or moderate positive and expiratory pressure levels apparently improves oxygenation without worsening intracranial pressure. Ventilatory management should be closely monitored and adjusted to hemodynamic, respiratory and neurological status to achieve a good outcome
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Índice:
LILACS (Américas)
Assunto principal:
Respiração Artificial
/
Doenças do Sistema Nervoso Central
Tipo de estudo:
Estudo de etiologia
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
1999
Tipo de documento:
Artigo
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