RESPIRATORY SUPPORT FOR TRAUMATIC BRAIN INJURY
Ключевые слова:
The main factors of delayed cerebral injury include; arterial hypotension, hypoxemia, hyper and hypocapnia, anemia, hyperthermia and intracranial hypertension. All these conditions trigger a chain of pathological reactions leading to impaired delivery of oxygen and nutrient substrates to brain cells.One of the most effective methods to maintain the necessary cerebral perfusion and oxygenation is respiratory support.Аннотация
The most common causes of cerebral injury in crtically ill patients are severetraumatic brain injury (TBI). TBI frequency in various regions of the Russian Federation is 4-4,5 cases per 1000 population per year. General mortality in traumatioc brain injury is 5-10%, but in severe forms TBI with intracranial hematomas, foci of head contusion brain mortality increases to 41-85%.
Библиографические ссылки
Bein T, Grasso S, Moerer O, et al. The standard of care of patients with ARDS: ventilatory settings and rescue therapies for refractory hypoxemia. Intensive Care Med. 2016;42(5):699-711. doi: https://doi.org/10.1007/s00134-016-4325-4
Brain Trauma Foundation. Guidelines for the Management of Severe Traumatic Brain Injury (4th Edition). Neurosurgery. 2017;80(1):6-15. doi: https://doi.org/10.1227/NEU.0000000000001432
