Gomez Courtney, Guo Shuhong, Jobarteh Sulayman, Lele Abhijit V, Vavilala Monica S, Theard Marie Angele, Aichholz Pudkrong
Department of Anesthesiology and Pain Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA.
Curr Anesthesiol Rep. 2025;15. doi: 10.1007/s40140-024-00667-4. Epub 2025 Jan 9.
We examine what is known, what is new, and what is emerging in acute neurotrauma relevant to the anesthesiologist.
Timely and goal-directed care is critical for all patients requiring urgent/emergent anesthesia care. Anesthesia care for acute neurological injury should incorporate understanding the evolution of traumatic brain injury and spinal cord injury that translates to preoperative preparation, hemodynamic resuscitation, prevention of second insults, and safe transport between care settings. Anesthesia care should support optimizing patient outcomes.
Best practices involve extrapolating data from the intensive care unit setting since there is a lack of research addressing anesthesia care for acute neurological injury. There are opportunities to generate data to support evidence-based anesthetic care.
我们探讨与麻醉医生相关的急性神经创伤领域中已知的、新出现的以及正在兴起的内容。
对于所有需要紧急/急诊麻醉护理的患者，及时且目标导向的护理至关重要。急性神经损伤的麻醉护理应包括了解创伤性脑损伤和脊髓损伤的发展过程，这转化为术前准备、血流动力学复苏、预防二次损伤以及在不同护理环境之间的安全转运。麻醉护理应有助于优化患者预后。
由于缺乏针对急性神经损伤麻醉护理的研究，最佳实践涉及从重症监护病房环境中推断数据。存在生成数据以支持循证麻醉护理的机会。
