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The respiratory aspect of the treatment of brain injury associated with acute alcohol intoxication--results of an animal experiment.

Abstract：

:The effects of spontaneous respiration and mechanical ventilation were examined by investigating the interaction between elevated intracranial pressure and alcohol intoxication. Ethanol (200 ml 48%) was infused in 11 young pigs with elevated cerebral pressure during mechanical ventilation (group 1), 7 young pigs with elevated cerebral pressure during spontaneous respiration (group 2), and 4 young pigs without elevated cerebral pressure during spontaneous respiration (group 3). While the behavior of intracranial pressure during mechanical ventilation in the animals from group 1 was inhomogeneous with a tendency to rise (29-34 mmHg), cerebral pressure (28-55 mmHg) increased drastically in the animals from group 2. This increase was associated with a sharp rise of Pa,CO2 (37.6-73.3 mmHg) and a decrease of Pa,O2 (74 mmHg to 13 mmHg). None of the animals in group 2 survived. Pa,CO2 also rose in alcoholized animals without elevated cerebral pressure (group 3) (41.9-63.9 mmHg); intracranial pressure, however, remained within the normal range. All animals in group 3 survived. Our findings indicate that elevated intracranial pressure and alcohol intoxication have a cumulative or potentiating effect on depression of the respiratory center. Respiratory depression can be prevented by mechanical ventilation and, therefore, a further rise of intracranial pressure generally avoided.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Pfenninger E,Bowdler I,Novak R,Grünert A,Kilian J

doi

10.1016/0300-9572(87)90023-2

subject

Has Abstract

pub_date

1987-06-01 00:00:00

pages

125-33

issue

2

eissn

0300-9572

issn

1873-1570

pii

0300-9572(87)90023-2

journal_volume

15

pub_type

杂志文章

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