Emergency Neurological Life Support: Airway, Ventilation, and Sedation

Neurocrit Care. 2017 Sep;27(Suppl 1):4-28. doi: 10.1007/s12028-017-0451-2.

Abstract

Airway management and ventilation are central to the resuscitation of the neurologically ill. These patients often have evolving processes that threaten the airway and adequate ventilation. Furthermore, intubation, ventilation, and sedative choices directly affect brain perfusion. Therefore, Airway, Ventilation, and Sedation was chosen as an Emergency Neurological Life Support protocol. Topics include airway management, when and how to intubate with special attention to hemodynamics and preservation of cerebral blood flow, mechanical ventilation settings and the use of sedative agents based on the patient's neurological status.

Keywords: Airway; Emergency; Neurocritical care; Sedation; Ventilation.

MeSH terms

  • Airway Management / methods*
  • Airway Management / standards
  • Analgesia / methods*
  • Analgesia / standards
  • Anesthesia / methods*
  • Anesthesia / standards
  • Clinical Protocols* / standards
  • Critical Care / methods*
  • Critical Care / standards
  • Emergency Medical Services / methods*
  • Emergency Medical Services / standards
  • Humans
  • Life Support Care / methods*
  • Life Support Care / standards
  • Neurology / education
  • Neurology / methods*
  • Neurology / standards
  • Practice Guidelines as Topic* / standards
  • Respiration, Artificial / methods*
  • Respiration, Artificial / standards