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Does pre-hospital ventilation effect outcome after significant brain injury?
- Source :
- Trauma. 9:283-289
- Publication Year :
- 2007
- Publisher :
- SAGE Publications, 2007.
-
Abstract
- Traumatic brain injury has a devastating impact on society, utilizing many resources and disproportionately affecting the young. Recent evidence demonstrates the early care of the brain injured patient impacts patient outcomes. While prevention of systolic hypotension and hypoxia are mainstays of prehospital management of the injured patient ventilatory management performed in the prehospital environment has recently been shown to impact outcomes. Hypocapnea from hyperventilation has been shown in several trials to cause deleterious effects from cerebral vasoconstriction and ischemia. The importance of balancing the prevention of both hypocapnea and hypercapnea has led to the idea of a target ventilation range for arterial carbon dioxide tension, the ideal way to achieve this balance in the prehospital setting remains elusive. This article reviews the background, physiologic effects, impact on outcomes, and implications for prehospital care of prehospital ventilation.
- Subjects :
- 021110 strategic, defence & security studies
medicine.medical_specialty
Traumatic brain injury
business.industry
0211 other engineering and technologies
Ischemia
030208 emergency & critical care medicine
Arterial carbon dioxide tension
02 engineering and technology
Hypoxia (medical)
Critical Care and Intensive Care Medicine
medicine.disease
Hypoventilation
03 medical and health sciences
0302 clinical medicine
Hyperventilation
Emergency Medicine
medicine
SYSTOLIC HYPOTENSION
Surgery
medicine.symptom
Intensive care medicine
business
Subjects
Details
- ISSN :
- 14770350 and 14604086
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Trauma
- Accession number :
- edsair.doi...........8ea930d73c74029c8483c73e1fa3e5fb