TY - JOUR AU - Merza, R.O. AU - Pidhirnyі, Ya.M. PY - 2020/10/30 Y2 - 2024/03/28 TI - Discussion issues of mechanical ventilation in patients with traumatic brain injury complicated by respiratory distress syndrome JF - EMERGENCY MEDICINE JA - ЕМ VL - 16 IS - 6 SE - Original Researches DO - 10.22141/2224-0586.16.6.2020.216511 UR - https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1307 SP - 63-65 AB - <p>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.</p> ER -