Department of Critical Care Services, Maine Medical Center, Tufts University School of Medicine, Boston, MA, USA.
Neurocrit Care. 2012 Sep;17 Suppl 1:S4-20. doi: 10.1007/s12028-012-9753-6.
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.
气道管理是神经疾病患者复苏的核心。这些患者的病情往往不断变化,威胁气道和充分通气。因此,气道、通气和镇静被选为急诊神经生命支持(ENLS)的协议。审查的主题包括气道管理;插管的决策;何时以及如何在关注心血管状况的情况下进行插管;机械通气设置;以及镇静的使用,包括如何根据患者的神经状态选择镇静剂。