Management of acute brain injury and associated respiratory issues

Respiratory Care

Volumn 51, Issue 4, 2006, Pages 357-367

  Deem, Steven ^a  

^a UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Acute brain injury; Cerebral blood flow; Closed head injury; Hyperventilation; Intracranial pressure; Lung protective ventilation; Respiratory; Subarachnoid hemmorhage

Indexed keywords

BARBITURIC ACID DERIVATIVE; CORTICOSTEROID; INSULIN; METHYLPREDNISOLONE; MIDAZOLAM; PROPOFOL;

ARTIFICIAL VENTILATION; BLOOD PRESSURE REGULATION; BRAIN BLOOD FLOW; BRAIN INJURY; CEREBROSPINAL FLUID DRAINAGE; CLINICAL TRIAL; CONFERENCE PAPER; DEATH; DECOMPRESSION SURGERY; DISABILITY; DRUG MEGADOSE; EXTUBATION; FEVER; HUMAN; HYPEROXIA; HYPERVENTILATION; HYPOTHERMIA; INTRACRANIAL PRESSURE; MEAN ARTERIAL PRESSURE; MORTALITY; OXYGEN TENSION; OXYGEN TRANSPORT; POSITIVE END EXPIRATORY PRESSURE; RESPIRATION DEPRESSION; RESPIRATORY CARE; SEDATION; SHOCK; SIDE EFFECT; TRAUMATIC BRAIN INJURY; ARTICLE; BRAIN; PATHOPHYSIOLOGY; PHYSIOLOGY; RESPIRATORY FAILURE; SUBARACHNOID HEMORRHAGE; UNITED STATES; VASCULARIZATION;

BRAIN; BRAIN INJURIES; HUMANS; HYPERVENTILATION; INTRACRANIAL PRESSURE; RESPIRATION, ARTIFICIAL; RESPIRATORY INSUFFICIENCY; RESPIRATORY THERAPY; SUBARACHNOID HEMORRHAGE; UNITED STATES;

EID: 33748367210     PISSN: 00201324     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Conference Paper

References (83)

1. Brain Trauma Foundation. Management and prognosis of severe traumatic brain injury. 2000. http://www2.braintrauma.org/guidelines. Accessed Jan 19, 2006.
2. Juul N, Morris GF, Marshall SB, Marshall LF. Intracranial hypertension and cerebral perfusion pressure: influence on neurological deterioration and outcome in severe head injury. The Executive Committee of the International Selfotel Trial. J Neurosurg 2000;92(1):1-6.
3. Drummond JC. The lower limit of autoregulation: time to revise our thinking? Anesthesiology 1997;86(6):1431-1433.
4. Maddock RJ. The lactic acid response to alkalosis in panic disorder: an integrative review. J Neuropsychiatry Clin Neurosci 2001;13(1):22-34.
5. ACO2. Acta Physiol Scand 1987;129(2):157-163.
6. CO2 in humans. J Appl Physiol 1998;85(2):388-397.
7. Raichle ME, Posner JB, Plum F. Cerebral blood flow during and after hyperventilation. Arch Neurol 1970;23(5):394-403.
8. 2 after brain trauma time-course of cerebral blood flow velocity and intracranial pressure. Intensive Care Med 2004;30(12):2180-2187.
9. Cruz J. The first decade of continuous monitoring of jugular bulb oxyhemoglobinsaturation: management strategies and clinical outcome. Crit Care Med 1998;26(2):344-351.
10. Mulvey JM, Dorsch NW, Mudaliar Y, Lang EW. Multimodality monitoring in severe traumatic brain injury: the role of brain tissue oxygenation monitoring. Neurocrit Care 2004;1(3):391-402.
11. Hemphill JC 3rd, Knudson MM, Derugin N, Morabito D, Manley GT. Carbon dioxide reactivity and pressure autoregulation of brain tissue oxygen. Neurosurgery 2001;48(2):377-383; discussion 383-384.
12. 2-monitoring in comatose patients: implications for therapy. Neurol Res 1997;19(3):233-240.
13. Reinert M, Barth A, Rothen HU, Schaller B, Takala J, Seiler RW. Effects of cerebral perfusion pressure and increased fraction of inspired oxygen on brain tissue oxygen, lactate and glucose in patients with severe head injury. Acta Neurochir (Wien) 2003;145(5):341-349; discussion 349-350.
14. Menzel M, Doppenberg EM, Zauner A, Soukup J, Reinert MM, Clausen T, et al. Cerebral oxygenation in patients after severe head injury: monitoring and effects of arterial hyperoxia on cerebral blood flow, metabolism and intracranial pressure. J Neurosurg Anesthesiol 1999;11(4):240-251.
15. Narayan RK, Michel ME, Ansell B, Baethmann A, Biegon A, Bracken MB, et al. Clinical trials in head injury. J Neurotrauma 2002;19(5):503-557.
16. Brain Trauma Foundation. Management and prognosis of severe traumatic brain injury (update 5/1/2003). 2003. http://www2.braintrauma.org/guidelines. Accessed Jan 19, 2006.
17. Diringer MN, Edwards DF. Admission to a neurologic/neurosurgical intensive care unit is associated with reduced mortality rate after intracerebral hemorrhage. Crit Care Med 2001;29(3):635-640.
18. Mirski MA, Chang CW, Cowan R. Impact of a neuroscience intensive care unit on neurosurgical patient outcomes and cost of care: evidence-based support for an intensivist-directed specialty ICU model of care. J Neurosurg Anesthesiol 2001;13(2):83-92.
19. Patel HC, Menon DK, Tebbs S, Hawker R, Hutchinson PJ, Kirkpatrick PJ. Specialist neurocritical care and outcome from head injury. Intensive Care Med 2002;28(5):547-553.
20. Suarez JI, Zaidat OO, Suri MF, Feen ES, Lynch G, Hickman J, et al. Length of stay and mortality in neurocritically ill patients: impact of a specialized neurocritical care team. Crit Care Med 2004;32(11):2311-2317.
21. Bouma GJ, Muizelaar JP, Choi SC, Newlon PG, Young HF. Cerebral circulation and metabolism after severe traumatic brain injury: the elusive role of ischemia. J Neurosurg 1991;75(5):685-693.
22. Kelly DF, Martin NA, Kordestani R, Counelis G, Hovda DA, Bergsneider M, et al. Cerebral blood flow as a predictor of outcome following traumatic brain injury. J Neurosurg 1997;86(4):633-641.
23. Muizelaar JP, Marmarou A, Ward JD, Kontos HA, Choi SC, Becker DP, et al. Adverse effects of prolonged hyperventilation in patients with severe head injury: a randomized clinical trial. J Neurosurg 1991;75(5):731-739.
24. Coles JP, Minhas PS, Fryer TD, Smielewski P, Aigbirihio F, Donovan T, et al. Effect of hyperventilation on cerebral blood flow in traumatic head injury: clinical relevance and monitoring correlates. Crit Care Med 2002;30(9):1950- 1959.
25. Diringer MN, Yundt K, Videen TO, Adams RE, Zazulia AR, Deibert E, et al. No reduction in cerebral metabolism as a result of early moderate hyperventilation following severe traumatic brain injury. J Neurosurg 2000;92(1):7-13.
26. Imberti R, Bellinzona G, Langer M. Cerebral tissue PO2 and SjvO2 changes during moderate hyperventilation in patients with severe traumatic brain injury. J Neurosurg 2002;96(1):97-102.
27. Schierhout G, Roberts I. Hyperventilation therapy for acute traumatic brain injury. Cochrane Database Syst Rev 2000;(2):CD000566.
28. Stocchetti N, Maas AI, Chieregato A, van der Plas AA. Hyperventilation in head injury: a review. Chest 2005;127(5):1812-1827.
29. Chesnut RM, Marshall LF, Klauber MR, Blunt BA, Baldwin N, Eisenberg HM, et al. The role of secondary brain injury in determining outcome from severe head injury. J Trauma 1993;34(2):216-222.
30. Chesnut RM, Marshall SB, Piek J, Blunt BA, Klauber MR, Marshall LF. Early and late systemic hypotension as a frequent and fundamental source of cerebral ischemia following severe brain injury in the Traumatic Coma Data Bank. Acta Neurochir Suppl (Wien) 1993;59:121-125.
31. Clifton GL, Miller ER, Choi SC, Levin HS. Fluid thresholds and outcome from severe brain injury. Crit Care Med 2002;30(4):739-745.
32. Leonardi-Bee J, Bath PM, Phillips SJ, Sandercock PA; IST Collaborative Group. Blood pressure and clinical outcomes in the International Stroke Trial. Stroke 2002;33(5):1315-1320.
33. Contant CF, Valadka AB, Gopinath SP, Hannay HJ, Robertson CS. Adult respiratory distress syndrome: a complication of induced hypertension after severe head injury. J Neurosurg 2001;95(4):560-568.
34. Robertson CS, Valadka AB, Hannay HJ, Contant CF, Gopinath SP, Cormio M, et al. Prevention of secondary ischemic insults after severe head injury. Crit Care Med 1999;27(10):2086-2095.
35. Battison C, Andrews PJ, Graham C, Petty T. Randomized, controlled trial on the effect of a 20% mannitol solution and a 7.5% saline/6% dextran solution on increased intracranial pressure after brain injury. Crit Care Med 2005;33(1):196-202; discussion 257-258.
36. Roberts I, Schierhout G, Wakai A. Mannitol for acute traumatic brain injury. Cochrane Database Syst Rev 2003;(2):CD001049.
37. Eisenberg HM, Frankowski RF, Contant CF, Marshall LF, Walker MD. High-dose barbiturate control of elevated intracranial pressure in patients with severe head injury. J Neurosurg 1988;69(1):15-23.
38. Cremer OL, Moons KG, Bouman EA, Kruijswijk JE, de Smet AM, Kalkman CJ. Long-term propofol infusion and cardiac failure in adult head-injured patients. Lancet 2001;357(9250):117-118.
39. Albrecht RF 2nd, Wass CT, Lanier WL. Occurrence of potentially detrimental temperature alterations in hospitalized patients at risk for brain injury. Mayo Clin Proc 1998;73(7):629-635.
40. Diringer MN, Reaven NL, Funk SE, Uman GC. Elevated body temperature independently contributes to increased length of stay in neurologic intensive care unit patients. Crit Care Med 2004;32(7):1489-1495. Erratum in: Crit Care Med 2004;32(10):2170.
41. Hajat C, Hajat S, Sharma P. Effects of poststroke pyrexia on stroke outcome : a meta-analysis of studies in patients. Stroke 2000;31(2):410-414.
42. Dippel DW, van Breda EJ, van der Worp HB, van Gemert HM, Meijer RJ, Kappelle LJ, Koudstaal PJ; PISA-Investigators. Effect of paracetamol (acetaminophen) and ibuprofen on body temperature in acute ischemic stroke PISA, a phase II double-blind, randomized, placebo-controlled trial [ISRCTN98608690]. BMC Cardiovasc Disord 2003;3:2.
43. Mayer S, Commichau C, Scarmeas N, Presciutti M, Bates J, Copeland D. Clinical trial of an air-circulating cooling blanket for fever control in critically ill neurologic patients. Neurology 2001;56(3):292-298.
44. Diringer MN; Neurocritical Care Fever Reduction Trial Group. Treatment of fever in the neurologic intensive care unit with a catheter-based heat exchange system. Crit Care Med 2004;32(2):559-564.
45. Mayer SA, Kowalski RG, Presciutti M, Ostapkovich ND, McGann E, Fitzsimmons BF, et al. Clinical trial of a novel surface cooling system for fever control in neurocritical care patients. Crit Care Med 2004;32(12):2508- 2515.
46. Polderman KH. Application of therapeutic hypothermia in the ICU: opportunities and pitfalls of a promising treatment modality. Part 1: Indications and evidence. Intensive Care Med 2004;30(4):556-575.
47. Clifton GL, Miller ER, Choi SC, Levin HS, McCauley S, Smith KR Jr, et al. Lack of effect of induction of hypothermia after acute brain injury. N Engl J Med 2001;344(8):556-563.
48. White H, Baker A. Continuous jugular venous oximetry in the neurointensive care unit: a brief review. Can J Anaesth 2002;49(6):623-629.
49. Bernard SA, Gray TW, Buist MD, Jones BM, Silvester W, Gutteridge G, Smith K. Treatment of comatose survivors of out-ofhospital cardiac arrest with induced hypothermia. N Engl J Med 2002;346(8):557-563.
50. Lodato RF. Oxygen toxicity. Crit Care Clin 1990;6(3):749-765.
51. Barber RE, Lee J, Hamilton WK. Oxygen toxicity in man. A prospective study in patients with irreversible brain damage. N Engl J Med 1970;283(27):1478-1484.
52. Hyde RW, Rawson AJ. Unintentional iatrogenic oxygen pneumonitis - response to therapy. Ann Intern Med 1969;71(3):517-531.
53. Rovlias A, Kotsou S. The influence of hyperglycemia on neurological outcome in patients with severe head injury. Neurosurgery 2000;46(2):335-342; discussion 342-343.
54. Lam AM, Winn HR, Cullen BF, Sundling N. Hyperglycemia and neurological outcome in patients with head injury. J Neurosurg 1991;75(4):545-551.
55. Gentile NT, Seftcheck M, Martin R. Blood glucose control after acute stroke: a retrospective study (abstract). Acad Emerg Med 2003;10(5):432.
56. Bruno A, Levine SR, Frankel MR, Brott TG, Lin Y, Tilley BC, et al; NINDS rt-PA Stroke Study Group. Admission glucose level and clinical outcomes in the NINDS rt-PA Stroke Trial. Neurology 2002;59(5):669-674.
57. Bruno A, Biller J, Adams HP Jr, Clarke WR, Woolson RF, Williams LS, Hansen MD. Acute blood glucose level and outcome from ischemic stroke. Trial ofORG10172 in Acute Stroke Treatment (TOAST) Investigators. Neurology 1999;52(2):280-284.
58. Mullner M, Sterz F, Binder M, Schreiber W, Deimel A, Laggner AN. Blood glucose concentration after cardiopulmonary resuscitation influences functional neurological recovery in human cardiac arrest survivors. J Cereb Blood Flow Metab 1997;17(4):430-436.
59. Van den Berghe G, Schoonheydt K, Becx P, Bruyninckx F, Wouters PJ. Insulin therapy protects the central and peripheral nervous system of intensive care patients. Neurology 2005;64(8):1348-1353.
60. van den Berghe G, Wouters P, Weekers F, Verwaest C, Bruyninckx F, Schetz M, et al. Intensive insulin therapy in the critically ill patients. N Engl J Med 2001;345(19):1359-1367.
61. Schierhout G, Roberts I. Anti-epileptic drugs for preventing seizures following acute traumatic brain injury. Cochrane Database Syst Rev 2001;(4):CD000173.
62. Roberts I, Yates D, Sandercock P, Farrell B, Wasserberg J, Lomas G, et al; CRASH trial collaborators. Effect of intravenous corticosteroids on death within 14 days in 10008 adults with clinically significant head injury (MRC CRASH trial): randomised placebo-controlled trial. Lancet 2004;364(9442):1321- 1328.
63. Edwards P, Arango M, Balica L, Cottingham R, El-Sayed H, Farrell B, et al; CRASH trial collaborators. Final results of MRC CRASH, a randomised placebo-controlled trial of intravenous corticosteroid in adults with head injury-outcomes at 6 months. Lancet 2005;365(9475):1957-1959.
64. Bratton SL, Davis RL. Acute lung injury in isolated traumatic brain injury. Neurosurgery 1997;40(4):707-712; discussion 712.
65. Holland MC, Mackersie RC, Morabito D, Campbell AR, Kivett VA, Patel R, et al. The development of acute lung injury is associated with worse neurologic outcome in patients with severe traumatic brain injury. J Trauma 2003;55(1):106-111.
66. Kahn JM, Caldwell E, Hudson LD, Deem S, Rubenfeld GD. Impact of acute lung injury on outcome in patients with subarachnoid hemorrhage (abstract). Am J Respir Crit Care Med 2004;169(7):A780.
67. The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000;342(18):1301- 1308.
68. Wolf S, Schurer L, Trost HA, Lumenta CB. The safety of the open lung approach in neurosurgical patients. Acta Neurochir Suppl 2002;81:99-101.
69. Shapiro HM, Marshall LF. Intracranial pressure responses to PEEP in head-injured patients. J Trauma 1978;18(4):254-256.
70. Apuzzo JL, Wiess MH, Petersons V, Small RB, Kurze T, Heiden JS. Effect of positive end expiratory pressure ventilation on intracranial pressure in man. J Neurosurg 1977;46(2):227-232.
71. Aidinis SJ, Lafferty J, Shapiro HM. Intracranial responses to PEEP. Anesthesiology 1976;45(3):275-286.
72. Videtta W, Villarejo F, Cohen M, Domeniconi G, Santa Cruz R, Pinillos O, et al. Effects of positive end-expiratory pressure on intracranial pressure and cerebral perfusion pressure. Acta Neurochir Suppl 2002;81:93-97.
73. Huynh T, Messer M, Sing RF, Miles W, Jacobs DG, Thomason MH. Positive end-expiratory pressure alters intracranial and cerebral perfusion pressure in severe traumatic brain injury. J Trauma 2002;53(3):488-492; discussion 492-493.
74. Georgiadis D, Schwarz S, Baumgartner RW, Veltkamp R, Schwab S. Influence of positive end-expiratory pressure on intracranial pressure and cerebral perfusion pressure in patients with acute stroke. Stroke 2001;32(9):2088-2092.
75. Huseby JS, Luce JM, Cary JM, Pavlin EG, Butler J. Effects of positive end-expiratory pressure on intracranial pressure in dogs with intracranial hypertension. J Neurosurg 1981;55(5):704-705.
76. Burchiel KJ, Steege TD, Wyler AR. Intracranial pressure changes in brain-injured patients requiring positive end-expiratory pressure ventilation. Neurosurgery 1981;8(4):443-449.
77. Frost EA. Effects of positive end-expiratory pressure on intracranial pressure and compliance in brain-injured patients. J Neurosurg 1977;47(2):195-200.
78. Mascia L, Grasso S, Fiore T, Bruno F, Berardino M, Ducati A. Cerebro-pulmonary interactions during the application of low levels of positive end-expiratory pressure. Intensive Care Med 2005;31(3):373-379.
79. Ely EW, Baker AM, Dunagan DP, Burke HL, Smith AC, Kelly PT, et al. Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med 1996;335(25):1864-1869.
80. Coplin WM, Pierson DJ, Cooley KD, Newell DW, Rubenfeld GD.Implications of extubation delay in brain-injured patients meeting standard weaning criteria. Am J Respir Crit Care Med 2000;161(5):1530-1536.
81. Namen AM, Ely EW, Tatter SB, Case LD, Lucia MA, Smith A, et al. Predictors of successful extubation in neurosurgical patients. Am J Respir Crit Care Med 2001;163(3 Pt 1):658-664.
82. Salam A, Tilluckdharry L, Amoateng-Adjepong Y, Manthous CA. Neurologic status, cough, secretions and extubation outcomes. Intensive Care Med 2004;30(7):1334-1339.
83. Koh WY, Lew TW, Chin NM, Wong MF. Tracheostomy in a neurointensive care setting: indications and timing. Anaesth Intensive Care 1997;25(4):365-368.