Strategies for the Use of Mechanical Ventilation in the Neurologic Intensive Care Unit

Wan Tsu W. Chang, Paul A. Nyquist

Research output: Contribution to journalReview articlepeer-review

Abstract

Mechanical ventilation in neurologically injured patients presents unique challenges. Patients with acute neurologic injuries may require mechanical ventilation for reasons beyond respiratory failure. There is also a subset of pulmonary pathologic abnormality directly associated with neurologic injuries. Balancing the need to maintain brain oxygenation, cerebral perfusion, and control of intracranial pressure can be in conflict with concurrent ventilator strategies aimed at lung protection. Weaning and liberation from mechanical ventilation also require special considerations. These issues are examined in the ventilator management of the neurologically injured patient.

Original languageEnglish (US)
Pages (from-to)407-416
Number of pages10
JournalNeurosurgery clinics of North America
Volume24
Issue number3
DOIs
StatePublished - Jul 2013

Keywords

  • Brain injury
  • Cerebral edema
  • Intracranial pressure
  • Mechanical ventilation

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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