用于神经损伤患者快速顺序诱导插管的镇静
Sedation for Rapid Sequence Induction and Intubation of Neurologically Injured Patients.
作者信息
Shriki Jesse, Galvagno Samuel M
机构信息
Surgical Critical Care, R Adams Cowley Shock Trauma Center, Program in Trauma, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA.
Multi Trauma Critical Care Unit, R Adams Cowley Shock Trauma Center, Program in Trauma, University of Maryland School of Medicine, Baltimore, MD, USA.
出版信息
Emerg Med Clin North Am. 2021 Feb;39(1):203-216. doi: 10.1016/j.emc.2020.09.012. Epub 2020 Oct 31.
There are subtle physiologic and pharmacologic principles that should be understood for patients with neurologic injuries. These principles are especially true for managing patients with traumatic brain injuries. Prevention of hypotension and hypoxemia are major goals in the management of these patients. This article discusses the physiology, pitfalls, and pharmacology necessary to skillfully care for this subset of patients with trauma. The principles endorsed in this article are applicable both for patients with traumatic brain injury and those with spinal cord injuries.
对于患有神经损伤的患者，有一些细微的生理和药理原则需要了解。这些原则对于管理创伤性脑损伤患者尤为适用。预防低血压和低氧血症是这些患者管理中的主要目标。本文讨论了熟练护理这类创伤患者所需的生理学、陷阱和药理学知识。本文所认可的原则适用于创伤性脑损伤患者和脊髓损伤患者。
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