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Ventilazione in corso di trauma Cranio-cerebrale ed elevate pressione Intracerebrale

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La respirazione artificiale

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Riassunto

I traumi cranio-cerebrali devono essere distinti in primari e secondari. I primi sono causati da forze di taglio, da trazione o da impatto. Conducono a contusioni cerebrali focali e lesioni reversibili o irreversibili. I secondi, sono da ricondursi ad ipossia-ischemia cerebrale causate da contusione ed emorragia focale, ma anche diffusa, per aumento posttraumatico della pressione intracerebrale. Altre cause importanti di lesione cerebrale secundaria sono:

  • Ematoma intracranico;

  • Alterazioni metaboliche;

  • Ipossia, ipercapnia ed ipotensione;

  • Iperglicemia;

  • Ipertermia;

  • Alterazioni della barriera ematoencefalica.

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Author information

Authors and Affiliations

  1. Divisione di Anestesia e Terapia Intensiva Policlinico Saarland, Università di Saarbrücken, Homburg, Germania

    Prof. Dr. Reinhard Larsen (Direttore)

  2. Divisione di Anestesia e Terapia Intensiva, Ospedale St. Joseph, Moers, Germania

    Dr. Thomas Ziegenfuß (Direttore)

Authors
  1. Prof. Dr. Reinhard Larsen
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  2. Dr. Thomas Ziegenfuß
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© 2012 Springer-Verlag Italia

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Larsen, R., Ziegenfuß, T. (2012). Ventilazione in corso di trauma Cranio-cerebrale ed elevate pressione Intracerebrale. In: La respirazione artificiale. Springer, Milano. https://doi.org/10.1007/978-88-470-2382-6_25

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  • DOI: https://doi.org/10.1007/978-88-470-2382-6_25

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2381-9

  • Online ISBN: 978-88-470-2382-6

  • eBook Packages: MedicineMedicine (R0)

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