Lidocaína como estrategia para minimizar la tos y controlar la presión intracraneal en una paciente neurocrítica: reporte de caso

Neurocritical patients require specific management aimed at neuroprotection, therefore it is important to ensure and aggressive respiratory efforts such as coughing should be avoided. Here, we present the case of a 72-year-old patient who was treated with systemic neuroprotective measures such as inhibition of the cough reflex; for this purpose, the artificial airway was made patent with prior instillation of lidocaine. During this intervention, no increase in the optic nerve sheath was observed, as well as inhibiting the spontaneous ventilatory response, achieving ventilatory coupling and a neuroprotective state.