The Role of Mechanical Ventilation in Acute Brain Injury

Robert David Stevens, Christos Lazaridis, Julio A. Chalela

Research output: Contribution to journalArticle

Abstract

Mechanical ventilation (MV) is fundamental to the resuscitation of brain injured patients, facilitating tissue oxygen delivery, helping to modulate cerebral vascular reactivity, and ensuring protection of the airway. These benefits come at a cost, which includes a significantly increased risk of pneumonia, delirium, and the complications of sedation and of endotracheal intubation. MV exerts effects on intracranial pressure and cerebral perfusion pressure which may be detrimental in patients with intracranial hypertension. MV can also induce alveolar damage in susceptible individuals, yet changes in ventilation designed to limit this damage may not be tolerated in the setting of brain injury. Recent research has begun to clarify key questions regarding the pathophysiology and management of MV in critically ill neurological patients.

Original languageEnglish (US)
Pages (from-to)543-563
Number of pages21
JournalNeurologic Clinics
Volume26
Issue number2
DOIs
StatePublished - May 2008

Fingerprint

Artificial Respiration
Brain Injuries
Cerebrovascular Circulation
Intracranial Hypertension
Intratracheal Intubation
Delirium
Intracranial Pressure
Critical Illness
Resuscitation
Blood Vessels
Ventilation
Pneumonia
Oxygen
Costs and Cost Analysis
Brain
Research

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

The Role of Mechanical Ventilation in Acute Brain Injury. / Stevens, Robert David; Lazaridis, Christos; Chalela, Julio A.

In: Neurologic Clinics, Vol. 26, No. 2, 05.2008, p. 543-563.

Research output: Contribution to journalArticle

Stevens, Robert David ; Lazaridis, Christos ; Chalela, Julio A. / The Role of Mechanical Ventilation in Acute Brain Injury. In: Neurologic Clinics. 2008 ; Vol. 26, No. 2. pp. 543-563.
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