Invasive mechanical ventilation strategies in adult patients with severe traumatic brain injury

Authors

  • Karen Take Guerra Ebara Universidade de Itaúna Author
  • Hunder Marques de Oliveira Universidade de Itaúna Author
  • Fernanda Lehmkuhl Universidade Positivo Author
  • Sabrina Costa Mendes UNICEPLAC Author
  • Leticia Lazzarini Bulla Faculdades Pequeno Príncipe Author

DOI:

https://doi.org/10.5281/zenodo.13308960

Keywords:

Invasive Mechanical Ventilation, Severe Traumatic Brain Injury, Ventilation Strategies, Intracranial Pressure

Abstract

This article examines invasive mechanical ventilation strategies in adult patients with severe traumatic brain injury. Invasive mechanical ventilation is a critical tool for managing patients with severe brain injuries, and its strategies can significantly influence clinical and neurological outcomes. The review covers various ventilation modes, such as pressure-controlled ventilation and volume-controlled ventilation, and their effectiveness in managing intracranial pressure and brain protection. Recent studies emphasize the importance of protective ventilation and tailoring ventilation strategies to enhance outcomes in patients with severe head trauma. The discussion includes an analysis of the evidence regarding the impacts of invasive mechanical ventilation on mortality, neurological outcomes, and associated complications. We conclude that a multidisciplinary approach and the application of appropriate ventilation strategies are essential for optimizing care and improving prognoses in these patients.

References

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BELFIORE, M. P. et al. Impact of pressure-controlled ventilation in traumatic brain injury: a review. Journal of Trauma and Acute Care Surgery, v. 88, n. 2, p. 253-259, 2020.

HSU, C. et al. Ventilation strategies in traumatic brain injury: balancing benefits and risks. Critical Care Medicine, v. 46, n. 4, p. 657-665, 2018.

KOUADIO, I. et al. Protective lung ventilation in severe traumatic brain injury: current evidence and guidelines. Annals of Intensive Care, v. 7, n. 1, p. 48, 2017.

SMITH, S. J. et al. High-frequency ventilation and brain protection in severe traumatic brain injury: a systematic review. Respiratory Care, v. 64, n. 7, p. 900-909, 2019.

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Published

2024-08-13

Issue

Section

Articles

How to Cite

EBARA , Karen Take Guerra; OLIVEIRA , Hunder Marques de; LEHMKUHL, Fernanda; MENDES , Sabrina Costa; BULLA, Leticia Lazzarini. Invasive mechanical ventilation strategies in adult patients with severe traumatic brain injury. Journal of Social Issues and Health Sciences (JSIHS), [S. l.], v. 1, n. 5, 2024. DOI: 10.5281/zenodo.13308960. Disponível em: https://ojs.thesiseditora.com.br/index.php/jsihs/article/view/81.. Acesso em: 13 dec. 2025.