Airway management in neurotrauma care

The predictability of the airway compromise affects the decision for tracheal intubation. Associated specific injuries, clinical presentation, and expected deterioration are the deciding factors regarding the need for securing the airway. Emergent or semi-urgent intubations are straightforward in t...

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Main Authors: Indubala Maurya, Ved Prakash Maurya, Rakesh Mishra, Luis Rafael Moscote-Salazar, Tariq Janjua, Mohd Yunus, Amit Agrawal
Format: Article
Language:English
Published: London Academic Publishing 2021-06-01
Series:Romanian Neurosurgery
Subjects:
Online Access:https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/2184
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author Indubala Maurya
Ved Prakash Maurya
Rakesh Mishra
Luis Rafael Moscote-Salazar
Tariq Janjua
Mohd Yunus
Amit Agrawal
author_facet Indubala Maurya
Ved Prakash Maurya
Rakesh Mishra
Luis Rafael Moscote-Salazar
Tariq Janjua
Mohd Yunus
Amit Agrawal
author_sort Indubala Maurya
collection DOAJ
description The predictability of the airway compromise affects the decision for tracheal intubation. Associated specific injuries, clinical presentation, and expected deterioration are the deciding factors regarding the need for securing the airway. Emergent or semi-urgent intubations are straightforward in the majority of patients. Airway management in trauma patients aims to improve tissue oxygenation, ensure ventilatory exchange, stabilize other injuries and prevent aspiration. Airway management in the trauma and emergency room is challenging as the emergency team has limited time for full airway assessment unlike pre-anaesthesia check-up clinic/operative room. The airway cart must be checked routinely in the emergency room for the working condition of the equipment and its availability. All trauma patients must be considered to have cervical spine injuries unless ruled out. The airway management for trauma patients is best done using a team approach including emergency medicine physicians, anesthesiologists, surgeons, and trained paramedical staff. Regardless of the emergency room setting, airway management of a trauma patient requires effective communication and efficient teamwork.
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spelling doaj.art-8930eda9728e401088350a7a15bc4c962022-12-22T02:27:43ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592021-06-01362Airway management in neurotrauma careIndubala MauryaVed Prakash MauryaRakesh MishraLuis Rafael Moscote-SalazarTariq JanjuaMohd YunusAmit Agrawal The predictability of the airway compromise affects the decision for tracheal intubation. Associated specific injuries, clinical presentation, and expected deterioration are the deciding factors regarding the need for securing the airway. Emergent or semi-urgent intubations are straightforward in the majority of patients. Airway management in trauma patients aims to improve tissue oxygenation, ensure ventilatory exchange, stabilize other injuries and prevent aspiration. Airway management in the trauma and emergency room is challenging as the emergency team has limited time for full airway assessment unlike pre-anaesthesia check-up clinic/operative room. The airway cart must be checked routinely in the emergency room for the working condition of the equipment and its availability. All trauma patients must be considered to have cervical spine injuries unless ruled out. The airway management for trauma patients is best done using a team approach including emergency medicine physicians, anesthesiologists, surgeons, and trained paramedical staff. Regardless of the emergency room setting, airway management of a trauma patient requires effective communication and efficient teamwork. https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/2184neurocritical caretraumatic brain injuryairway managementneurotrauma
spellingShingle Indubala Maurya
Ved Prakash Maurya
Rakesh Mishra
Luis Rafael Moscote-Salazar
Tariq Janjua
Mohd Yunus
Amit Agrawal
Airway management in neurotrauma care
Romanian Neurosurgery
neurocritical care
traumatic brain injury
airway management
neurotrauma
title Airway management in neurotrauma care
title_full Airway management in neurotrauma care
title_fullStr Airway management in neurotrauma care
title_full_unstemmed Airway management in neurotrauma care
title_short Airway management in neurotrauma care
title_sort airway management in neurotrauma care
topic neurocritical care
traumatic brain injury
airway management
neurotrauma
url https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/2184
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AT rakeshmishra airwaymanagementinneurotraumacare
AT luisrafaelmoscotesalazar airwaymanagementinneurotraumacare
AT tariqjanjua airwaymanagementinneurotraumacare
AT mohdyunus airwaymanagementinneurotraumacare
AT amitagrawal airwaymanagementinneurotraumacare