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Early Ventilation in Trauma Patients

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The Integrated Approach to Trauma Care

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 22))

Abstract

Acute respiratory failure is frequently encountered in multiple trauma patients. Maintenance of airway patency and adequacy of ventilation are the top priorities of the resuscitative protocol. Severe clinical situations (cardiorespiratory arrest, airway obstruction, deep coma) represent a clear indication for emergency tracheal intubation and mechanical ventilation. However, more subtle decision making is necessary in a conscious or obtunded, spontaneously breathing patient with moderate shock due to multiple traumatic lesions. In such a situation early respiratory support should be based on an understanding of the mechanism of trauma. While unnecessary intubation should be avoided in patients who most likely will remain stable, early mechanical ventilation may significantly contribute to the decrease in morbidity of those who subsequently deteriorate. Adequate and timely respiratory support may diminish the incidence of aspiration, atelectasis, acute respiratory distress syndrome (ARDS), pulmonary infection, and intracranial hypertension.

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Authors
  1. M. Hemmer
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Editor information

Editors and Affiliations

  1. Department of Surgery, University Hospital, University of Nijmegen, Geert Grooteplein 14, NL-6500 HB, Nijmegen, The Netherlands

    Rene Jan Albert Goris

  2. Department of Surgery, University Hospital, University of Zürich, Rämistrasse 100, CH-8091, Zürich, Switzerland

    Otmar Trentz

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© 1995 Springer-Verlag Berlin Heidelberg

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Hemmer, M. (1995). Early Ventilation in Trauma Patients. In: Goris, R.J.A., Trentz, O. (eds) The Integrated Approach to Trauma Care. Update in Intensive Care and Emergency Medicine, vol 22. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79272-4_5

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  • DOI: https://doi.org/10.1007/978-3-642-79272-4_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-79274-8

  • Online ISBN: 978-3-642-79272-4

  • eBook Packages: Springer Book Archive

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