Open AccessProfile of Airway Patency, Respiratory Rate, PaCO2, and PaO2 in Severe Traumatic Brain Injury Patients (GCS <9) In Emergency Room Dr. Soetomo Hospital Surabaya
Author(s) -
Maria Marind Desrianti Hutauruk,
Ira Dharmawati,
Philia Setiawan
Publication year - 2020
Publication title -
indonesian journal of anesthesiology and reanimation (ijar)
Language(s) - English
Resource type - Journals
ISSN - 2686-021X
DOI - 10.20473/ijar.v1i22019.32-37
Subject(s) - medicine , traumatic brain injury , mechanical ventilation , anesthesia , airway , medical record , general hospital , hypocapnia , emergency department , emergency medicine , pediatrics , surgery , hypercapnia , psychiatry , acidosis
Traumatic Brain Injury (TBI) is the most common neurotrauma with high morbidity and mortality. Many guidelines recommend the use of mechanical ventilation for severe TBI patients, but there are limited resources of procuring ventilator machine in hospitals especially in developing countries. Yet it is not comparable with the number of TBI patients. Objective: This study is purposed to provide the profile of ventilation and oxygenation (airway patency, RR, PaCO2, and PaO2) in severe TBI patients (GCS 60 mmHg (100%), RR>20 breaths per minute (70.2%), and patent airways (64.9%) with simple support of oxygen. 8.1% of all of those patients had PaCO2>45 mmHg. Conclusion: Most of the severe TBI admitted in the ER of Dr. Soetomo General Academic Hospital had hypocapnia or respiratory rate higher than the normal range. Though one-third of the patient has partial obstruction of the airway, no significant hypoxemia is found.