Anesthetic Considerations and Ventilation Strategies in Cardiothoracic Trauma

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• 作者：Craig S. Jabaley ; Roman Dudaryk ; Charles E. Smith
• 关键词：Thoracic trauma ; Trauma anesthesia ; Thoracic aortic injury ; Blunt cardiac injury ; Airway trauma ; Pulmonary contusion
• 刊名：Current Anesthesiology Reports
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：6
• 期：1
• 页码：36-49
• 全文大小：469 KB
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• 作者单位：Craig S. Jabaley (1)
  Roman Dudaryk (2)
  Charles E. Smith (3)
  
  1. Division of Critical Care Medicine, Department of Anesthesiology, Emory University Hospital, 1364 Clifton Road, NE, Atlanta, GA, 30322, USA
  2. Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami/Jackson Memorial Hospital Ryder Trauma Center, 1611 NW 12th Avenue (C-301), Miami, FL, 33136, USA
  3. Department of Anesthesiology, MetroHealth Medical Center, Case Western Reserve University School of Medicine, 2500 MetroHealth Drive, Cleveland, OH, 44144, USA
  
• 刊物主题：Anesthesiology;
• 出版者：Springer US
• ISSN：2167-6275

文摘

Cardiothoracic trauma represents a significant challenge for the anesthesiologist, and little robust investigational evidence exists to guide management decisions. Injury patterns are potentially diverse and often severe, and mortality rates are second only to those of traumatic brain injury. As such, anesthesiologists must be familiar both with the fundamentals of trauma patient care and considerations unique to cardiothoracic injury. Herein, we discuss anesthetic considerations related to traumatic injury of the heart, great vessels, conducting airways, and lungs. As the rate of respiratory failure and acute respiratory distress syndrome (ARDS) exceeds that of the general trauma population, we then review the relevant fundamental aspects of mechanical ventilation and treatment of ARDS.