Review Article

Neurocritical Care

, Volume 17, Supplement 1, pp 4-20

First online:

Emergency Neurological Life Support: Airway, Ventilation, and Sedation

  • David B. SederAffiliated withDepartment of Critical Care Services, Maine Medical Center, Tufts University School of Medicine Email author 
  • , Richard R. RikerAffiliated withDepartment of Critical Care Services, Maine Medical Center, Tufts University School of Medicine
  • , Andy JagodaAffiliated withDepartment of Emergency Medicine, Mount Sinai Medical Center
  • , Wade S. SmithAffiliated withENLS Course Co-Chair, Department of Neurology, University of California, San Francisco
  • , Scott D. WeingartAffiliated withENLS Course Co-Chair, Division of ED Critical Care, Mount Sinai School of Medicine

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Abstract

Airway management is central to the resuscitation of the neurologically ill. These patients often have evolving processes that threaten the airway and adequate ventilation. Therefore, airway, ventilation, and sedation were chosen as an Emergency Neurological Life Support (ENLS) protocol. Reviewed topics include airway management; the decision to intubate; when and how to intubate with attention to cardiovascular status; mechanical ventilation settings; and the use of sedation, including how to select sedative agents based on the patient’s neurological status.

Keywords

Respiratory failure Airway protection Intubation Ventilation