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Liberation of neurosurgical patients from mechanical ventilation and tracheostomy in neurocritical care.

Abstract：

:Neurosurgical patients commonly require mechanical ventilation and monitoring in a neurocritical care unit. There are only few studies that specifically address the process of liberation from mechanical ventilation in this population. Patients who remain ventilator or artificial airway dependent receive a tracheostomy. The appropriate timing for the procedure is not well defined and may be different among an inhomogeneous population of critically ill patients. In this article, we review the general principles of liberation and the current literature as it pertains to neurosurgical patients with primary brain injury. The criteria for "readiness of extubation" include a combination of neurologic assessment, hemodynamic, and respiratory parameters. Future studies are required to better assess indicators for extubation readiness, evaluate the predictors of extubation failure in brain-injured patients, and define the most appropriate timing for a tracheostomy.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Lazaridis C,DeSantis SM,McLawhorn M,Krishna V

doi

10.1016/j.jcrc.2011.08.018

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

417.e1-8

issue

4

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(11)00394-7

journal_volume

27

pub_type

杂志文章,评审

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