PARAMETERS OF MECHANICAL LUNG VENTILATION IN PATIENTS WITH BRAIN INJURY COMPLICATED BY RESPIRATORY DISTRESS SYNDROME
DOI:
https://doi.org/10.32782/2411-9164.19.1-9Keywords:
respiratory therapy, artificial ventilation, positive end-expiratory pressure, traumatic brain injuryAbstract
The article discusses the modern view of the problem of respiratory therapy in patients with brain injury complicated by respiratory distress syndrome. Based on our own observations, research, and literature data, the modern view of 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. Сonsider the level of positive end-expiratory pressure (PEEP) in patients with intracranial hypertension, as well as the technology of selection of this parameter. Because incorrect adjustment of mechanical ventilation parameters can significantly impair treatment results. A retrospective analysis of the results of treatment of 34 patients with trauma (as a component of polytrauma), which 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 7 ± 2 cm of water. According to the results, it can be argued that the problem of mechanical ventilation technology in patients with trauma requires further study, the question of the role of cerebral and pulmonary compliance, the impact of PEEP on ICP remains unresolved.
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