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Ventilatory strategies in trauma patients
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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3912646/ https://www.ncbi.nlm.nih.gov/pubmed/24550626 http://dx.doi.org/10.4103/0974-2700.125635 |
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author | Arora, Shubhangi Singh, Preet Mohinder Trikha, Anjan |
author_facet | Arora, Shubhangi Singh, Preet Mohinder Trikha, Anjan |
author_sort | Arora, Shubhangi |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3912646 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-39126462014-02-18 Ventilatory strategies in trauma patients Arora, Shubhangi Singh, Preet Mohinder Trikha, Anjan J Emerg Trauma Shock Review Article 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. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC3912646/ /pubmed/24550626 http://dx.doi.org/10.4103/0974-2700.125635 Text en Copyright: © Journal of Emergencies, Trauma, and Shock http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Arora, Shubhangi Singh, Preet Mohinder Trikha, Anjan Ventilatory strategies in trauma patients |
title | Ventilatory strategies in trauma patients |
title_full | Ventilatory strategies in trauma patients |
title_fullStr | Ventilatory strategies in trauma patients |
title_full_unstemmed | Ventilatory strategies in trauma patients |
title_short | Ventilatory strategies in trauma patients |
title_sort | ventilatory strategies in trauma patients |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3912646/ https://www.ncbi.nlm.nih.gov/pubmed/24550626 http://dx.doi.org/10.4103/0974-2700.125635 |
work_keys_str_mv | AT arorashubhangi ventilatorystrategiesintraumapatients AT singhpreetmohinder ventilatorystrategiesintraumapatients AT trikhaanjan ventilatorystrategiesintraumapatients |