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5 - Airway and Ventilator Management of the Neurologically Critically Ill Patient

Published online by Cambridge University Press:  19 May 2022

By
Howard Lee  and
Michael L Ault
Edited by
Andrew M. Naidech
Andrew M. Naidech
Affiliation:
Northwestern University, Illinois
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Summary

Airway and ventilator management of the neurologically critically ill population poses several specific challenges for providers. These include the prevention of further injury due to hemodynamic instability or hypoxia; understanding the indications for tracheal intubation such as the need for invasive mechanical ventilation, upper airway obstruction, bronchial hygiene, and inability to protect airway; and securing airway in a rapid fashion to prevent aspiration. These patients typically do not have issues with lung mechanics, rather they have issues with airway protection and management of bronchial secretions. Depending on the neurologic pathology, these patients may require tracheostomy.

Type
Chapter
Information
Neurocritical Care , pp. 90 - 110
Publisher: Cambridge University Press
Print publication year: 2022

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