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 NI FEATURE: CENTS (CONCEPTS, ERGONOMICS, NUANCES, THERBLIGS, SHORTCOMINGS) - COMMENTARY
Year : 2016  |  Volume : 64  |  Issue : 3  |  Page : 485--493

Mechanical ventilation in neurological and neurosurgical patients


1 Department of Neuroanesthesia, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India
2 Department of Anesthesia, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India
3 Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India

Correspondence Address:
Dr. Hemant Bhagat
Department of Neuroanesthesia, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh - 160 012, Punjab and Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.181585

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Approximately 20% of all patients requiring mechanical ventilation suffer from neurological dysfunction. It is imperative in the ventilatory management of such patients to have a thorough understanding of the disease pathology that may require institution of mechanical ventilation as well as in realizing its effects on the injured brain. These patients have unique challenges pertaining to the assessment and securing of the airway, maintenance of mechanical ventilation, as well as weaning and extubation readiness. This manuscript aims to present the current evidence in ventilatory management of the important subset of patients with neuronal injury. The indications for ventilatory management include both neurological and neurosurgical causes.






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Online since 20th March '04
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