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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Airway management for patients with closed head injury

Airway management for patients with closed head injury
Key points:
  • In a patient with a DA, perform awake intubation if the patient is awake (GCS ≥9), cooperative, hemodynamically stable, and able to maintain adequate O2 saturation.*
  • Keep cerebral perfusion pressure at 60 to 70 mmHg.[1]
  • Avoid hypoxia and hypercarbia.
DA: difficult airway; GCS: Glasgow coma scale; O2: oxygen.
*Patients with a brain injury may NOT be cooperative and this will make awake intubation challenging.
Reference:
  1. Carney N, Totten AM, O'Reilly C, et al. Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition. Neurosurgery 2017; 80:6.
Based on Hagberg CA, Kaslow O. Difficult airway management algorithm in trauma: Updated by COTEP. ASA Monitor 2014; 78:56. Copyright © 2014 American Society of Anesthesiologists. A copy of the full text can be obtained from ASA, 1061 American Lane, Schaumburg, IL, 60173-4973 or online at www.asahq.org.
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