Acute Neuro Care by Unknown

Acute Neuro Care by Unknown

Author:Unknown
Language: eng
Format: epub
ISBN: 9789811540714
Publisher: Springer Singapore


8.5 Management (Fig. 8.4)

Initial Casualty Management:

Preventing secondary brain injury by maintaining the airway, preventing hypoxia, hypocarbia, hypotension remains the priority. Definitive airway shall be established in casualty. Adequate resuscitation is completed in the casualty if not done in the field. Maintenance of cerebral perfusion and preventing/treating brain herniation is required. There exists a difference between EtCO2 and PaCO2, capnography mostly underestimating actual PaCO2. This is due to increase in ventilator dead space, which is common in sick patients and those with low cardiac output.

Fig. 8.4 Management of TBI



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