Ventilatory Strategies in Trauma Patients

Overview

Journal J Emerg Trauma Shock

Specialty Emergency Medicine

Date 2014 Feb 20

PMID 24550626

Citations 7

Authors

Shubhangi Arora

Preet Mohinder Singh

Anjan Trikha

Affiliations

Soon will be listed here.

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.

Citing Articles

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Biomechanics of flail chest injuries: tidal volume and respiratory work changes in multiple segmental rib fractures.

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Prolonged time to recovery and its predictors among trauma patients admitted to the intensive care units in comprehensive specialized hospitals in Northwest Ethiopia: a multicenter retrospective follow-up study, 2022.

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Standardized porcine unilateral femoral nailing is associated with changes in PMN activation status, rather than aberrant systemic PMN prevalence.

Teuben M, Pfeifer R, Horst K, Simon T, Heeres M, Kalbas Y Eur J Trauma Emerg Surg. 2021; 48(3):1601-1611.

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