CLINICAL CONTROVERSIES Clinical Controversies: Lidocaine Administration Before Rapid Sequence Intubation in Patients With Traumatic Brain Injuries
نویسنده
چکیده
Opposing authors provide succinct, authoritative discussions of controversial issues in emergency medicine. Authors are provided the opportunity to review and comment on opposing presentations. Each topic is accompanied by an Editor’s Note that summarizes important concepts. Participation as an authoritative discussant is by invitation only, but suggestions for topics and potential authors can be submitted to the section editors.
منابع مشابه
Controversies in rapid sequence intubation in children.
PURPOSE OF REVIEW Rapid sequence intubation is the method of choice for intubation of the emergency department patient. The purpose of the present review is to address several controversies pertaining to emergency department rapid sequence intubation of children. RECENT FINDINGS The topics covered in this review include the determination of the appropriate clinician to perform emergency depar...
متن کاملParamedic rapid sequence intubation in patients with non-traumatic coma.
INTRODUCTION Pre-hospital intubation by paramedics is widely used in comatose patients prior to transportation to hospital, but the optimal technique for intubation is uncertain. One approach is paramedic rapid sequence intubation (RSI), which may improve outcomes in adult patients with traumatic brain injury. However, many patients present to emergency medical services with coma of non-traumat...
متن کاملOpposition to the use of lidocaine in rapid sequence intubation.
hypertension by lidocaine. Neurosurgery 1987;20:542-547. 6. Bullok M, Lyeth B, Muizelaar J. Current status of neuroprotection trials for traumatic brain injury: lessons from animal models and clinical studies. Neurosurgery. 1999;45:207-217. 7. Canavero S, Bonicalzi V, Narcisi P. Safety of magnesium-lidocaine combination for severe head injury: the Turin Lidomag Pilot Study. Surg Neurol. 2003;60...
متن کاملIn patients with head injury undergoing rapid sequence intubation, does pretreatment with intravenous lignocaine/lidocaine lead to an improved neurological outcome? A review of the literature.
It is well known that laryngeal instrumentation and endotracheal intubation is associated with a marked, transient rise in intracranial pressure (ICP). Patients with head injury requiring endotracheal intubation are considered particularly at risk from this transient rise in ICP as it reduces cerebral perfusion and thus may increase secondary brain injury. The favoured method for securing a def...
متن کاملP32: Effect of Airway Pressure Release Ventilation Mode on Intracranial Pressure and Oxygenation in Patients with Traumatic Brain Injuries
This study aimed at compare influences of airway pressure release ventilation (APRV) and Synchronized Intermittent Mechanical Ventilation (SIMV) on intracranial pressure and oxygenation status in patients with traumatic brain injuries. A clinical trial was carried out in 40 patients with traumatic brain injuries in the intensive care unit in Kamyab neurosurgery Hospital, Mashhad, Iran. The pati...
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