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首页> 外文期刊>Current opinion in anaesthesiology >Multicompartment management of patients with severe traumatic brain injury
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Multicompartment management of patients with severe traumatic brain injury

机译：严重脑外伤患者的多室管理

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PURPOSE OF REVIEW: Intracranial pressure (ICP) control is a mainstay of traumatic brain injury (TBI) management. However, development of intracranial hypertension (ICH) may be affected by factors outside of the cranial vault in addition to the local effects of the TBI. This review will examine the pathophysiology of multiple compartment syndrome (MCS) and current treatment considerations for patients with TBI given the effects of MCS. RECENT FINDINGS: Elevated intra-abdominal pressure (IAP) is associated with ICP elevation, and decompressive laparotomy in patients with concurrent elevations in IAP and ICP can reduce ICP. Elevated intrathoracic pressure may be similarly associated with ICP elevation, although the ideal ventilator management strategy for TBI patients when considering MCS is unclear. SUMMARY: In MCS, intracranial, intrathoracic and intra-abdominal compartment pressures are interrelated. TBI patient care should include ICP control as well as minimization of intrathoracic and intra-abdominal pressure as clinically possible.
机译：审查的目的：颅内压（ICP）控制是创伤性脑损伤（TBI）管理的支柱。但是，除了TBI的局部作用外，颅内高压（ICH）的发展可能还受颅顶外因素的影响。这项审查将检查多室综合征（MCS）的病理生理学和鉴于MCS的影响，目前对TBI患者的治疗考虑。最近的发现：腹腔内高压（IAP）与ICP升高相关，IAP和ICP同时升高的患者进行减压剖腹手术可以降低ICP。胸腔内压升高可能与ICP升高相似，尽管目前尚不清楚TBI患者在考虑MCS时理想的呼吸机管理策略。摘要：在MCS中，颅内，胸腔内和腹腔内的压力相互关联。 TBI患者护理应包括ICP控制以及在临床上尽可能降低胸腔和腹腔内压力。

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