Management of arterial PaCO2 in the first week after TBI
ESICM Talk28 Sep 2021

Management of arterial PaCO2 in the first week after TBI

The manipulation of arterial carbon dioxide levels (PaCO2) is easy, and hyperventilation (HV) has been a common ICP-lowering strategy for over half a century.

However, hyperventilation-induced vasoconstriction is a double-edged sword. It reduces cerebral blood volume and intracranial volume, and therefore, lowers ICP.

We observed huge variability among centres in PaCO2 values and use of HV. Although causal inferences cannot be drawn from these observational data, our results suggest that, in patients with severe intracranial hypertension, HV is not associated with worse long-term clinical outcomes.

Original article: Management of arterial partial pressure of carbon dioxide in the first week after traumatic brain injury: results from the Center-TBI study

Speakers:

David K. MENON. Neurocritical Care Unit, Addenbrooke’s Hospital, Cambridge, UK

Laura BORGSTEDT. Clinic for Anaesthesiology and Intensive Care Medicine - Klinikum rechts der Isar of the Technical University of Munich

Avsnitt(90)

When to initiate RRT?

When to initiate RRT?

Acute kidney injury is common in critically ill patients, and 10-15% of ICU patients receive renal replacement therapy (RRT). The timing of therapy initiation is limited by heterogeneity, but until 10...

7 Sep 202246min

Frailty and the COVIP study

Frailty and the COVIP study

Over the last few years, the assessment of frailty at admission to the ICU has become increasingly popular. Frailty is also considered one of the potential prognostic indicators in patients with COVID...

31 Aug 202225min

Clinical course of children with acute liver failure admitted to the ICU

Clinical course of children with acute liver failure admitted to the ICU

A recent outbreak of acute non-A-E hepatitis with serum transaminases greater than 500 IU/L identified in children under 16 years reported in the United Kingdom (UK) has become a serious cause for con...

24 Aug 202227min

Echocardiography findings in COVID-19 patients admitted to ICU

Echocardiography findings in COVID-19 patients admitted to ICU

The ECHO-COVID study investigated the effects on cardiac function in critically ill COVID -19 patients. The primary aim of this study was to investigate the incidences and patterns of left and right v...

22 Juni 202221min

Results from the UNITE-COVID study

Results from the UNITE-COVID study

The European Society of Intensive Care Medicine (ESICM), initiated a study to describe the extent of the COVID-19 ICU surge worldwide and the clinical characteristics, management, and outcomes of crit...

15 Juni 202212min

Bullets in haemodynamics

Bullets in haemodynamics

The haemodynamic instability most patients present in the ICU may lead to organ dysfunction, deterioration into multi-organ failure, and eventually death. Proper medical management is essential to pre...

8 Juni 202239min

The brain in paediatric critical care

The brain in paediatric critical care

The practice of neurocritical care for children with injured or vulnerable brains entails clinical assessment, a range of monitoring methods within the paediatric intensive care unit (PICU), and the f...

1 Juni 202226min

The role of acute hypercapnia on mortality and short-term physiology in patients mechanically ventilated for ARDS

The role of acute hypercapnia on mortality and short-term physiology in patients mechanically ventilated for ARDS

Recent evidence suggests that acute hypercapnia could have harmful physiological and clinical effects in patients with ARDS, particularly impacting the haemodynamic system. A review and meta-analysis ...

25 Maj 202211min

Populärt inom Business & ekonomi

framgangspodden
badfluence
varvet
rss-jossan-nina
rss-svart-marknad
rss-borsens-finest
avanzapodden
uppgang-och-fall
svd-tech-brief
rss-dagen-med-di
fill-or-kill
lastbilspodden
rss-inga-dumma-fragor-om-pengar
dynastin
24fragor
rss-kort-lang-analyspodden-fran-di
rss-den-nya-ekonomin
kapitalet-en-podd-om-ekonomi
borsmorgon
rikatillsammans-om-privatekonomi-rikedom-i-livet