Ventilatory strategies in trauma patients

Shubhangi Arora, Preet Mohinder Singh, Anjan Trikha

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Lung injury in trauma patients can occur because of direct injury to lung or due to secondary effects of injury elsewhere for example fat embolism from a long bone fracture, or due to response to a systemic insult such as; acute respiratory distress syndrome (ARDS) secondary to sepsis or transfusion related lung injury. There are certain special situations like head injury where the primary culprit is not the lung, but the brain and the ventilator strategy is aimed at preserving the brain tissue and the respiratory system takes a second place. The present article aims to delineate the strategies addressing practical problems and challenges faced by intensivists dealing with trauma patients with or without healthy lungs. The lung protective strategies along with newer trends in ventilation are discussed. Ventilatory management for specific organ system trauma are highlighted and their physiological base is presented.

Original languageEnglish (US)
Pages (from-to)25-31
Number of pages7
JournalJournal of Emergencies, Trauma and Shock
Volume7
Issue number1
DOIs
StatePublished - 2014

All Science Journal Classification (ASJC) codes

  • Emergency Medicine

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