Systematic review of non-invasive ventilation and craniofacial fractures: a multidisciplinary perspective and recommendations for management

IF 1.7 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

British Journal of Oral & Maxillofacial Surgery Pub Date : 2024-06-01 DOI:10.1016/j.bjoms.2024.02.005

Duncan McCrory , Charlotte Kenny , Mark Fisher , Ryan Smit , Richard Cobb

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引用次数: 0

Abstract

The anatomically complex craniofacial skeleton demands special consideration when caring for cases of polytrauma or medically compromised patients with craniofacial fractures. This paper utilises a systematic review and multidisciplinary opinions to create an algorithm for the hospital-based care of patients with craniofacial fractures (base of skull, orbit, paranasal sinus, and mandible) who require non-invasive ventilation (NIV). Each fracture location has a unique predisposition to a different type of emphysema and associated morbidity. The risk of developing emphysema, combined with its potential severity, is stratified against the harm of not providing NIV for the holistic care of the patient. The aim of this paper is to synthesise evidence from a systematic review of existing literature with multidisciplinary opinions to develop a concise algorithm that outlines the optimal treatment of patients with craniofacial fractures who require NIV.

查看原文本刊更多论文

无创通气（NIV）与颅面部骨折的系统回顾：多学科视角和管理建议

颅面部骨骼的创伤解剖结构复杂，在护理多发性创伤或有内科疾病的颅面部骨折患者时需要特别考虑。

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来源期刊

British Journal of Oral & Maxillofacial Surgery 医学-外科

CiteScore

3.60

自引率

16.70%

发文量

256

审稿时长

6 months

期刊介绍： Journal of the British Association of Oral and Maxillofacial Surgeons: • Leading articles on all aspects of surgery in the oro-facial and head and neck region • One of the largest circulations of any international journal in this field • Dedicated to enhancing surgical expertise.