Seder David B, Jagoda Andy, Riggs Becky
Department of Critical Care Services, Maine Medical Center, Tufts University School of Medicine, Boston, MA, USA.
Department of Emergency Medicine, Mount Sinai Medical Center, New York, NY, USA.
Neurocrit Care. 2015 Dec;23 Suppl 2:S5-22. doi: 10.1007/s12028-015-0164-3.
Airway management and ventilation are central to the resuscitation of the neurologically ill. These patients often have evolving processes that threaten the airway and adequate ventilation. Furthermore, intubation, ventilation, and sedative choices directly affect brain perfusion. Therefore, airway, ventilation, and sedation was chosen as an emergency neurological life support protocol. Topics include airway management, when and how to intubate with special attention to hemodynamics and preservation of cerebral blood flow, mechanical ventilation settings, and the use of sedative agents based on the patient's neurological status.
气道管理和通气对于神经系统疾病患者的复苏至关重要。这些患者常有不断进展的病情,威胁气道及充分通气。此外,插管、通气和镇静药物的选择直接影响脑灌注。因此,气道、通气和镇静被选为一项紧急神经生命支持方案。主题包括气道管理、何时及如何插管,特别关注血流动力学和脑血流的维持、机械通气设置以及根据患者神经状态使用镇静药物。