医学
机械通风
重症监护室
重症监护医学
通风(建筑)
麻醉
呼吸衰竭
充氧
脑灌注压
断奶
脑血流
内科学
机械工程
工程类
作者
Wan Tsu W. Chang,Paul Nyquist
标识
DOI:10.1016/j.nec.2013.02.004
摘要
Mechanical ventilation in neurologically injured patients presents unique challenges. Patients with acute neurologic injuries may require mechanical ventilation for reasons beyond respiratory failure. There is also a subset of pulmonary pathologic abnormality directly associated with neurologic injuries. Balancing the need to maintain brain oxygenation, cerebral perfusion , and control of intracranial pressure can be in conflict with concurrent ventilator strategies aimed at lung protection. Weaning and liberation from mechanical ventilation also require special considerations. These issues are examined in the ventilator management of the neurologically injured patient.
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