2000
DOI: 10.1590/s0004-282x2000000400009
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Usos e abusos da hiperventilação nos traumatismo crânio-encefálicos graves

Abstract: RESUMO -É feita avaliação crítica sobre as diretrizes atuais e consequências da manobra de hiperventilação (MHV) na prevenção e tratamento da hipertensão intracraniana (HIC) que segue aos traumatismos crânio-encefálicos (TCE) graves. O uso profilático da MHV deve ser evitado na fase aguda de TCE grave, a menos que se registrem altos valores de O 2 no sangue venoso medido no bulbo jugular, ou para ganhar tempo quando o paciente apresenta evidentes sinais posturais de deterioração neurológica. A falta de respost… Show more

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Cited by 3 publications
(4 citation statements)
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“…In this study 31 publications were selected from the year 2000 to 2007, 11 articles on utilization of pulmonary hyperventilation, (10,13,(15)(16)(17)(19)(20)(21)(22)(23)(24) 7 on utilization of PEEP (4,18,(26)(27)(28)(29)(30) , two encompassing both subjects (14,25) and 11 general articles on TBI. (1)(2)(3)(5)(6)(7)(8)(9)11,12,31) Only one article about pulmonary hyperventilation was clinical (20) while five were found about PEEP level.…”
Section: Literature Reviewmentioning
confidence: 99%
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“…In this study 31 publications were selected from the year 2000 to 2007, 11 articles on utilization of pulmonary hyperventilation, (10,13,(15)(16)(17)(19)(20)(21)(22)(23)(24) 7 on utilization of PEEP (4,18,(26)(27)(28)(29)(30) , two encompassing both subjects (14,25) and 11 general articles on TBI. (1)(2)(3)(5)(6)(7)(8)(9)11,12,31) Only one article about pulmonary hyperventilation was clinical (20) while five were found about PEEP level.…”
Section: Literature Reviewmentioning
confidence: 99%
“…Regarding pulmonary hyperventilation all nine articles mentioned prophylactic hyperventilation and agreed that it is not recommended in the first 24 hours, since CBF is reduced at this time after trauma (10,13,16,19,(21)(22)(23)(24)(25) . Six articles conclude that prolonged pulmonary hyperventilation must be avoided in the absence of high ICP as sustained vasoconstriction reduces CBF to deleterious levels and could generate brain ischemia.…”
Section: Pulmonary Hyperventilationmentioning
confidence: 99%
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