Erschienen in:
01.03.2016 | Anesthesia for Trauma (JW Simmons, Section Editor)
Anesthetic Considerations and Ventilation Strategies in Cardiothoracic Trauma
verfasst von:
Craig S. Jabaley, Roman Dudaryk, Charles E. Smith
Erschienen in:
Current Anesthesiology Reports
|
Ausgabe 1/2016
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Abstract
Cardiothoracic trauma represents a significant challenge for the anesthesiologist, and little robust investigational evidence exists to guide management decisions. Injury patterns are potentially diverse and often severe, and mortality rates are second only to those of traumatic brain injury. As such, anesthesiologists must be familiar both with the fundamentals of trauma patient care and considerations unique to cardiothoracic injury. Herein, we discuss anesthetic considerations related to traumatic injury of the heart, great vessels, conducting airways, and lungs. As the rate of respiratory failure and acute respiratory distress syndrome (ARDS) exceeds that of the general trauma population, we then review the relevant fundamental aspects of mechanical ventilation and treatment of ARDS.