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RAPID-SEQUENCE INTUBATION IN HEAD TRAUMA

被引：64
作者：
WALLS, RM
机构：
[1] Division of Emergency Medicine, Department of Surgery, University of British Columbia
来源：
ANNALS OF EMERGENCY MEDICINE | 1993年 / 22卷 / 06期
关键词：
HEAD INJURY; INTUBATION;
D O I：
10.1016/S0196-0644(05)82743-X
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Elevated intracranial pressure commonly is associated with severe head injury. Emergency airway management technique in the patient who has sustained severe head injury must optimize conditions for intubation, minimize the adverse effects of intubation, and permit rapid and effective management of the elevated intracranial pressure. Disturbances in autoregulation make the injured brain particularly susceptible to the adverse effects of alterations of systemic blood pressure. Airway manipulation without adequate pharmacologic support can cause precipitous changes in systemic hemodynamic parameters. This article reviews the physiologic and pathologic relationship among airway management, systemic hemodynamic parameters, and intracranial pressure. Specific recommendations for the use of neuromuscular blocking agents, anesthetic induction agents, and adjunctive medications are provided.
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收藏
页码：1008 / 1013
页数：6
相关论文
共 94 条
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