神經外科術後病患呼吸器策略之應用

Translated title of the contribution: Ventilator Strategy in Neurosurgery Patients

Research output: Contribution to journalArticlepeer-review

Abstract

Pulmonary complications are common after brain injury, occurring in up to 80%.Acute lung injury has been reported in 20% of TBI (traumatic brain injury) patients with a postre suscitative Glasgow Coma Score < 8 and in 31% of the those requiring mechanical ventilation for more than 24h. Neurosurgery patients was received general anesthesia, wich promotes atelectasis formation. these atelectrauma can contribute to acute lung injury (ALI/ARDS).
Hyperventilation by high tidal volume and low peep has been widely used in the treatment and prevention of rise ICP. but, the strategy may further exacerbate the pulmonary inflammatory response in patients with ALI/ARDS.
An attractive alternative in the early phase after brain injury to guarantee tight CO2 control may be the use of different ventilator strategies based on morderate/lower tidal volume and high rate to obtain similar minute ventilation.
Application of PEEP has long been controversial in the management of brain injury patients, This article reviews the current evidence for the ventilator strategy in neurosurgy patients.
Translated title of the contributionVentilator Strategy in Neurosurgery Patients
Original languageChinese (Traditional)
Pages (from-to)71-78
Number of pages8
Journal呼吸治療
Volume7
Issue number2
DOIs
Publication statusPublished - 2008

Keywords

  • bain trauma
  • rspiratory care
  • neurosurgery
  • hyperventilation

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