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Intensive Care Medicine

Erschienen in:

01.05.2004 | Editorial

Cerebral arterial gas embolism: should we hyperventilate these patients?

verfasst von: C.-M. Muth, E. S. Shank

Erschienen in: Intensive Care Medicine | Ausgabe 5/2004

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Excerpt

The management of the patient with cerebral arterial gas embolism and ensuing elevated intracranial pressure (ICP) is controversial and poorly studied. Most of the data is derived from case reports, retrospective analysis, or theoretical studies. For this reason the study by van Hulst and colleagues, in this issue of Intensive Care Medicine, is readily welcomed [1]. It is an important step in our understanding of cerebral arterial gas embolism (CAGE) insult and may help in the management of CAGE and other traumatic brain injuries. …

Robert A van Hulst, Jack J Haitsma, Thomas W Lameris, Jan Klein, Burkhard Lachmann (2004) Hypocapnia and hyperoxemia do not improve brain function in cerebral air embolism in pigs. Intensive Care Med (this issue)

Muth CM, Shank ES (2000) Gas embolism. N Engl J Med 342:476–482PubMed

Blanc P, Boussuges A, Henriette K, Sainty JM, Deleflie M (2002) Iatrogenic cerebral air embolism: importance of an early hyperbaric oxygenation. Intensive Care Med 28:559–563CrossRef

Tetzlaff K, Shank ES, Muth CM (2003) Evaluation and management of decompression illness—an intensivist’s perspective. Intensive Care Med 29:2128–2136CrossRefPubMed

Annane D, Troche G, Delisle F, Devauchelle P, Paraire F, Raphael JC, Gajdos P (1994) Effects of mechanical ventilation with normobaric oxygen therapy on the rate of air removal from cerebral arteries. Crit Care Med 22:851–857PubMed

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van Hulst RA, Lameris TW, Hasan D, Klein J, Lachmann B (2003) Effects of cerebral air embolism on brain metabolism in pigs. Acta Neurol Scand 108:118–124CrossRefPubMed

The Brain Trauma Foundation. The American Association of Neurological Surgeons. The Joint Section on Neurotrauma and Critical Care. (2000) Hyperventilation. J Neurotrauma 17:513–520PubMed

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Hiroto O, Iida H, Nagase K, Dohi S (2001) The effects of topical and intravenous ketamine on cerebral arterioles in dogs receiving pentobarbital or isoflurane anesthesia. Anesth Analg 93:697–702PubMed

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Titel: Cerebral arterial gas embolism: should we hyperventilate these patients?
verfasst von: C.-M. Muth
E. S. Shank
Publikationsdatum: 01.05.2004
Verlag: Springer-Verlag
Erschienen in: Intensive Care Medicine / Ausgabe 5/2004
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-004-2209-5

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Cerebral arterial gas embolism: should we hyperventilate these patients?

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