Special cases: mechanical ventilation of neurosurgical patients.
Mechanical ventilation has evolved greatly over the last half century, guided primarily by improved comprehension of the relevant pathology/physiology. Neurosurgical patients are a unique subgroup of patients who heavily use this technology for both support, and less commonly, as a therapy. Such patients demand special consideration with regard to mode of ventilation, use of positive end-expiratory pressure, and monitoring. In addition, meeting the ventilatory needs of neurosurgical patients while minimizing ventilatory-induced lung damage can be a challenging aspect of care.
Johnson
Victoria E
VE
The University of Pennsylvania, Department of Neurosurgery, 105 Hayden Hall, 3320 Smith Walk, Philadelphia, PA 19104, USA.
Huang
Jason H
JH
Pilcher
Webster H
WH
D006801:Humans; D007427:Intracranial Pressure; D009422:Nervous System Diseases / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D011175:Positive-Pressure Respiration / Q000009:adverse effects*; D012119:Respiration; D012121:Respiration, Artificial / Q000379:methods / Q000639:trends*; D012128:Respiratory Distress Syndrome / Q000209:etiology* / Q000517:prevention & control; D013119:Spinal Cord Injuries / Q000628:therapy