Discussion issues of mechanical ventilation in patients with traumatic brain injury complicated by respiratory distress syndrome

Authors

  • R.O. Merza Danylo Halytsky Lviv National Medical University, Lviv, Ukraine
  • Ya.M. Pidhirnyі Danylo Halytsky Lviv National Medical University, Lviv, Ukraine

DOI:

https://doi.org/10.22141/2224-0586.16.6.2020.216511

Keywords:

respiratory therapy, mechanical ventilation, positive end-expiratory pressure, traumatic brain injury

Abstract

Based on our own observations, researches, and literature data, the modern view on the problem is discussed, and the re­levance of further study of respiratory therapy in patients with traumatic brain injury complicated by respiratory distress syndrome is substantiated, namely, the level of positive end-expiratory pressure (PEEP) in patients with intracranial hypertension, as well as the technology of selecting this parameter, because incorrect adjustment of mechanical ventilation parameters can significantly wor­sen treatment outcomes. A retrospective analysis of the results of treatment was conducted in 23 patients with traumatic brain injury (as a component of polytrauma), who were divided into two groups according to the level of PEEP. Faster neurological regression was found in patients of the first group, where PEEP was 8 ± 2 cm H2O. According to the results, it can be said that the problem of mechanical ventilation in patients with traumatic brain injury requires further study; the question of the role of cerebral and pulmonary compliance, the impact of PEEP on intracranial pressure remains unresolved.

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Published

2020-09-01

Issue

Section

Original Researches