Airway Management of Suspected Traumatic Brain Injury Patients in the Emergency Room

Author:

Maurya Indubala1,Maurya Ved Prakash2ORCID,Mishra Rakesh3,Moscote-Salazar Luis Rafael4,Janjua Tariq5ORCID,Yunus Mohd6,Agrawal Amit6ORCID

Affiliation:

1. Department of Anaesthesiology, Kalyan Singh Super Specialty Cancer Institute, CG City, Lucknow, Uttar Pradesh, India

2. Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh, India

3. Department of Neurosurgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India

4. Critical Care Unit, Latinamerica Council of Neurocritical Care (CLaNi), Colombia

5. Department of Critical Care Medicine, Physician Regional Medical Center, Naples, Florida, United States

6. Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Saket Nagar, Bhopal, Madhya Pradesh, India

Abstract

AbstractThe patients of trauma offers a special challenge because of the associated head injury, maxillofacial, neck and spine injuries, which puts the airway at imminent risk. The response time for the emergency team to initiate the airway management determines the outcome of the individual undergoing treatment. A judious implementatin of triage and ATLS guidelines are helpful in the allocation of resources in airway management of trauma patients. One must not get distracted with the severity of other organ systems because cerebral tissue permits a low threshold to the hypoxic insults. Adequate preparedness and a team effort result in better airway management and improved outcomes in trauma patients with variable hemodynamic response to resuscitation. All possible efforts must be made to secure a definitive airway (if required) and should be verified clinically as well as with the available adjuncts. The success of a trauma team depends on the familiarity to the airways devices and their discrete application in various situations.

Publisher

Georg Thieme Verlag KG

Subject

General Medicine

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