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Ventilasi Mekanis Pada Pasien Cedera Otak Traumatik Dengan Gagal Nafas (Mechanical Ventila Hon For Traumatic Brain Injured Patients With Respiratory Failure)

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Respiratory failure can occur independently or due to brain injury. The management of mechanical ventilation in these patients became more complicated when both together are occurred. This is due to the management of respiratory may be effected by cerebral function, and vice versa. Ventilation modes, which include the amount of given tidal volume, ventilation pattern, oxygenation and positive end expiratory pressure (PEEP) have been well known to contribute in the changes of intracranial pressure. It is advised to perform hyperventilation with low tidal volume in order to keep an adequate minute ventilation and reduced PaCO2. Hyperventilation is suggested to prevent ischemia by preventing the reduction of cerebral blood flow during the first 24 hours after the onset of trauma. Unfortunately, there is still no evidence of the best PEEP to be used in this patient. Therefore, it is advised to find the minimum PEEP, which prevents collapsed alveoli, with less hemodynamic effects. Furthermore, there are several successful reports in the use of advances mechanical ventilation techniques in these patients, such as HFOV, pECLA and ECMO. This review will inform the management of mechanical ventilation for brain injured patients with respiratory failure.
Keywords: respiratory failure, brain injury, mechanical ventilation.

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Ketersediaan

Informasi Detail

Judul Seri

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No. Panggil

Jurnal Neuroanastesia Indonesia, 02 (01) 2013 : 74

Penerbit

Bandung : Indonesian Society of Neuroanesthesia & Critical Care INA_SNACC., 2013

Deskripsi Fisik

7p

Bahasa

ISBN/ISSN

2088-9670

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Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

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Pernyataan Tanggungjawab

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