title: Mechanical ventilation in neurological and neurosurgical patients.
abstract: 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.
authors.forename: Amlan
authors.initials: A
authors.lastname: Swain
authors.affiliation: Department of Neuroanesthesia, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India.
authors.forename: Hemant
authors.initials: H
authors.lastname: Bhagat
authors.forename: Neeru
authors.initials: N
authors.lastname: Sahni
authors.forename: Pravin
authors.initials: P
authors.lastname: Salunke
mesh_terms: D060666:Airway Extubation; D006801:Humans; D019635:Neurosurgical Procedures; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency