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Ventilator management of trauma patients 

Ventilator management of trauma patients
Chapter:
Ventilator management of trauma patients
Author(s):

Matthew Benns

, Babak Sarani

, and Alain C. Corcos

DOI:
10.1093/med/9780199777709.003.0008
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date: 25 January 2020

The indications for mechanical ventilation in the trauma patient falls into three, broad categories: shock resulting in metabolic acidosis, insult to the respiratorysystem resulting in impaired gas exchange, and depressed mental status leadingto decreased ability to protect the airway. Once mechanical ventilation has beeninitiated, the clinician must be cognizant of the possibility of ventilator-inducedlung injury. It is critical to recall that oxygen exchange isdirectly proportional to the fraction of inspired oxygen (FiO2) and mean airwaypressure, while CO 2 exchange is directly proportional to the minute ventilation.

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