[Utilization of helicopters for the prevention of secondary cerebral lesions in severe craniocerebral injuries].
The prehospital emergency treatment of craniocerebral trauma tries to avoid secondary cerebral lesions by controlling respiration and circulation. The therapy consists of heavy sedation with Midazolam, analgesia with morphine, artificial hyperventilation, PaO2 over 12 kPa and average arterial pressure above 80 mmHg. Our series of 46 patients recovered between 1982-1988 had a hospital mortality of 23%. 46% of the patients were polytraumatized. A normal neurologic state 6 months from the accident was registered in 86.4%. For 13.6% it was slightly pathological and no vigilant coma state was reported. The most effective rehabilitation method at the site of the accident has to secure the cerebral oxygen supply and reduce potential increase in intracranial pressure for avoid secondary cerebral lesions.
Genoni
M
M
Bogen
M
M
Fritz
M
M
Malacrida
R
R
D000328:Adult; D000401:Aircraft; D006259:Craniocerebral Trauma / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D004632:Emergency Medical Services; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D002534:Hypoxia, Brain / Q000209:etiology / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014187:Transportation of Patients
Helikoptereinsatz zur Vermeidung zerebraler Sekundärschäden bei schweren Schädelhirntraumata.