Open AccessVentilatory strategies in trauma patients
Author(s) -
Shubhangi Arora,
Preet Mohinder Singh,
Anjan Trikha
Publication year - 2014
Publication title -
journal of emergencies, trauma and shock
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.313
H-Index - 29
eISSN - 0974-519X
pISSN - 0974-2700
DOI - 10.4103/0974-2700.125635
Subject(s) - medicine , ards , culprit , intensive care medicine , sepsis , lung , head trauma , diffuse alveolar damage , acute respiratory distress , head injury , respiratory distress , mechanical ventilation , anesthesia , surgery , cardiology , myocardial infarction
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.