Departments of Neurosurgery and Neurology, University of Michigan, Ann Arbor, MI, USA.
Department of Pediatrics, Johns Hopkins University, Baltimore, MD, USA.
Neurocrit Care. 2017 Sep;27(Suppl 1):4-28. doi: 10.1007/s12028-017-0451-2.
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.
气道管理和通气是神经疾病患者复苏的核心。这些患者的病情常常在不断变化，可能会危及气道和通气。此外，插管、通气和镇静剂的选择直接影响脑灌注。因此，《气道、通气和镇静》被选为《急诊神经生命支持》的一个方案。内容包括气道管理，何时以及如何进行插管，特别注意血流动力学和脑血流的保护，机械通气设置以及根据患者的神经状态使用镇静剂。
