Comments on Nonoperative Treatment of Severe Brain Injuries

Importance of Controlled Ventilation and Hyperventilation
  • E. Gordon
Part of the Acta Neurochirurgica book series (NEUROCHIRURGICA, volume 36)


All patients unconscious from brain injury should be intubated and hyperventilated in a ventilator. There are obvious advantages to intubate and ventilate all patients with a specified degree of impairment of consciousness. It is more dangerous to await the development of abnormalities and complications, when the institution of this treatment may come too late2, 7.


Traumatic Brain Injury Brain Injury Intracranial Hypertension Cerebral Perfusion Pressure Nonoperative Treatment 
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  1. 1.
    Becker DP, Vries JK, Young HF, et al (1975) Controlled cerebral perfusion pressure and ventilation in human mechanical brain injury: Prevention of progressive brain swelling. In: Lundberg N, et al. (ed) Intracranial pressure II. Springer, Berlin Heidelberg New York, pp 480–484CrossRefGoogle Scholar
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    Gordon E (1971) Controlled respiration in the management of patients with traumatic brain injuries. Acta Anaesthesiol Scand 15: 193–208PubMedCrossRefGoogle Scholar
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    Messeter K, Nordström CH, Sundbärg G, Algotsson L, Ryding E (1986) Cerebral hemodynamics in patients with acute severe head trauma. J Neurosurg, in pressGoogle Scholar
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    Paulson OB (1971) Restoration of autoregulation by hypocapnia. In: Ross Russell RW (ed) Brain and blood flow. Pitman, London, pp 313–321Google Scholar
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    Rossanda M, Collice M, Porta M, et al (1975) Intracranial hypertension in head injury: Clinical significance and relation to respiration. In: Lundberg N et al (eds) Intracranial pressure II. Springer, Berlin Heidelberg New York, pp 475–479CrossRefGoogle Scholar
  7. 7.
    Rossanda M, Di Giugno G, Corona S et al (1966) Oxygen supply to the brain and respirator treatment in severe comatose status. Acta Anaesthesiol Scand 3 [Suppl] 23: 766–774CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • E. Gordon
    • 1
  1. 1.Karolinska HospitalStockholmSweden

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