Treatment Conflicts between the Injured Brain and the Lung
Management of acute brain injury is focused on preventing, detecting, and correcting systemic secondary insults such as hypoxemia, hypocapnia, and hypercapnia, which are known to worsen patient prognosis. According to the international guidelines, tracheal intubation and mechanical ventilation are required after brain injury in every comatose patient having a Glasgow coma scale equal to or less than 8. Artificial ventilation is used to prevent the risks of airway obstruction and aspiration. It also permits the easy control of PaCO2 and PaO2 and allows the administration of potent sedative drugs.
KeywordsTraumatic Brain Injury Cerebral Blood Flow Acute Lung Injury Cerebral Perfusion Pressure Cerebral Blood Volume
Unable to display preview. Download preview PDF.
- 24.Neuwelt EA, Kikuchi K, Hill SA, Lipsky P, Frenkel E (1982) Barbiturate inhibition of lymphocyte function. Differing effects of various barbiturates used to induce coma. J Neurosurg 56: 254–259Google Scholar