Pregled bibliografske jedinice broj: 1184176
Mechanical ventilation with high positive endexpiratory pressure in patient with acute subarachnoid haemorrhage, elevated intracranial pressure and acute respiratory distress syndrome: a case report
Mechanical ventilation with high positive endexpiratory pressure in patient with acute subarachnoid haemorrhage, elevated intracranial pressure and acute respiratory distress syndrome: a case report // European Journal of Anaesthesiology / Marc Samama, Charles (ur.).
London : Delhi: Wolters Kluwer, 2019. str. 232-232 (poster, međunarodna recenzija, sažetak, ostalo)
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Naslov
Mechanical ventilation with high positive
endexpiratory
pressure in patient with acute subarachnoid
haemorrhage, elevated intracranial
pressure and acute respiratory distress syndrome:
a case report
(Mechanical ventilation with high positive
endexpiratory pressure in patient with acute
subarachnoid haemorrhage, elevated intracranial
pressure and acute respiratory distress syndrome:
a case report)
Autori
Penavić, Ante ; Kovač, Nataša ; Matošević, Jelena ; Murselović, Tamara
Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo
Izvornik
European Journal of Anaesthesiology
/ Marc Samama, Charles - London : Delhi : Wolters Kluwer, 2019, 232-232
Skup
Euroanaesthesia 2019
Mjesto i datum
Beč, Austrija, 01.06.2019. - 03.06.2019
Vrsta sudjelovanja
Poster
Vrsta recenzije
Međunarodna recenzija
Ključne riječi
SAH, mechanical ventilation, PEEP
Sažetak
Acute respiratory distress syndrome is an acute diffuse, inflammatory lung injury, leading to hypoxaemia. Severe ARDS is defined with PaO2/FiO2 ratio<100.Protective lung ventilation, recruitment maneuvers and permissive hypercapnia are the treatment and respiratory management in ARDS patients. Such treatment could be challenging in patient with subarachnoid haemorrhage caused by ruptured cerebral aneurysm and elevated intracranial pressure. Complex pathophysiology of disfunction of two organs and protective therapy raises the question/dilemma: “to save the lungs or to save the brain”? Recruitment maneuvers in patients with SAH hypothesize ICP increase. We decided to perform gradual recruitment maneuver because better lung function improves blood oxygenation with a greater oxygen delivery to brain.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti