Neurocritical Care

, Volume 17, Supplement 1, pp 4–20 | Cite as

Emergency Neurological Life Support: Airway, Ventilation, and Sedation

  • David B. Seder
  • Richard R. Riker
  • Andy Jagoda
  • Wade S. Smith
  • Scott D. Weingart
Review Article

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 

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Copyright information

© Neurocritical Care Society 2012

Authors and Affiliations

  • David B. Seder
    • 1
  • Richard R. Riker
    • 1
  • Andy Jagoda
    • 2
  • Wade S. Smith
    • 3
  • Scott D. Weingart
    • 4
  1. 1.Department of Critical Care Services, Maine Medical CenterTufts University School of MedicineBostonUSA
  2. 2.Department of Emergency MedicineMount Sinai Medical CenterNew YorkUSA
  3. 3.ENLS Course Co-Chair, Department of NeurologyUniversity of California, San FranciscoSan FranciscoUSA
  4. 4.ENLS Course Co-Chair, Division of ED Critical CareMount Sinai School of MedicineNew York USA

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