tailieunhanh - Management of airway: Part 2

(BQ) Continued part 1, part 2 of the document Management of airway has contents: Airway Management in traumatic brain injury, airway management in cervical spine injured patients, airway management in cervical spine injured patients, surgical airway, and other contents. Invite you to refer. | Chapter 9 Airway Management in Traumatic Brain Injury TBI Fauzia Anis Khan Abstract Traumatic brain injury has become the leading cause of morbidity and mortality all over the world. Early establishment and maintenance of airway is critical as mortality increases in patients who suffer hypoxia. This review discusses the prehospital and intraoperative management of airway in these patients. The current practices and controversies regarding the use of tracheal tubes versus other means of maintaining the airway in prehospital management indications of tracheal intubation choice of anaesthetic drugs for induction hemodynamic response to laryngoscopy and intubation role of tracheostomy as well as principles of extubation are discussed. Keywords Intubation tracheal Traumatic brain injury Head trauma Head injury Prehospital care Airway Tracheostomy Extubation Hemodynamic response Introduction TBI is currently the leading cause of death and disability in high income countries and is predicted to be the major cause of death and disability worldwide by the year 2020 1 . Head injury affects more than one million Americans annually 2 . In United Kingdom 11 000 people per year sustain TBI 3 . TBI is also becoming the leading cause of morbidity and mortality in Asia as many low and middle income countries are undergoing rapid urbanisation. Although data from this continent is limited a paper on Global Burden of Disease Study has compared available data between China India and the rest of Asia. In this region India appears to have the highest incidence of TBI due to road traffic accidents falls and violence 4 . It is estimated that in India nearly 6 million individuals sustain TBI annually 5 . F. A. Khan Department of Anaesthesiology Aga Khan University Karachi Pakistan e-mail Z. H. Khan ed. Airway Management DOI 978-3-319-08578-4_9 Springer International Publishing Switzerland 2014 147 148 F. A. Khan Airway control is crucial in these patients in .

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