Airway Management of Suspected Traumatic Brain Injury Patients in the Emergency Room

IF 0.2 Q4 NEUROSCIENCES
Indubala Maurya, V. Maurya, Rakesh Mishra, L. Moscote-Salazar, Tariq Janjua, M. Yunus, A. Agrawal
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引用次数: 0

Abstract

Abstract The patients of trauma offers a special challenge because of the associated head injury, maxillofacial, neck and spine injuries, which puts the airway at imminent risk. The response time for the emergency team to initiate the airway management determines the outcome of the individual undergoing treatment. A judious implementatin of triage and ATLS guidelines are helpful in the allocation of resources in airway management of trauma patients. One must not get distracted with the severity of other organ systems because cerebral tissue permits a low threshold to the hypoxic insults. Adequate preparedness and a team effort result in better airway management and improved outcomes in trauma patients with variable hemodynamic response to resuscitation. All possible efforts must be made to secure a definitive airway (if required) and should be verified clinically as well as with the available adjuncts. The success of a trauma team depends on the familiarity to the airways devices and their discrete application in various situations.
急诊疑似颅脑外伤患者的气道管理
创伤患者由于其相关的头部、颌面、颈部和脊柱损伤,使气道处于迫在眉睫的危险之中,给患者带来了特殊的挑战。急救小组启动气道管理的反应时间决定了接受治疗的个体的结果。明智地实施分诊和ATLS指南有助于在创伤患者气道管理中分配资源。人们不能因为其他器官系统的严重程度而分心,因为大脑组织允许低氧损伤的阈值。充分的准备和团队的努力可以改善气道管理,改善对复苏有可变血流动力学反应的创伤患者的预后。必须尽一切可能确保最终气道(如果需要),并应在临床和可用辅助设备上进行验证。创伤小组的成功取决于对气道设备的熟悉程度以及它们在不同情况下的离散应用。
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