Abstract
Respiratory insufficiency is one of the most serious physiologic consequences of trauma. From a physiologic viewpoint, early respiratory support for the injured patient is concerned primarily with the safe assurance and maintenance of (1) adequate ventilation (fresh gas exchange to remove secreted CO2) and (2) adequate tissue oxygenation (inflation of alveoli, supplemental oxygen administration, and oxygen delivery to the tissues). From a pragmatic viewpoint, this aspect of care is aimed at answering the following questions: 1. Will the patient need ventilatory support (manual or mechanical breaths)? 2. Will the patient need oxygenation support (hemorrhage control and transfusion, supplemental oxygen, positive pressure lung inflations, or even positive end-expiratory pressure) accompanied by circulatory support? 3. What are the potential complications of these support interventions (for example, barotrauma and circulatory compromise)?
| Original language | English (US) |
|---|---|
| Pages (from-to) | 157-173 |
| Number of pages | 17 |
| Journal | Surgical Clinics of North America |
| Volume | 69 |
| Issue number | 1 |
| State | Published - 1989 |
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ASJC Scopus subject areas
- Surgery
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Acute post-traumatic respiratory physiology and insufficiency. / Pepe, P. E.
In: Surgical Clinics of North America, Vol. 69, No. 1, 1989, p. 157-173.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Acute post-traumatic respiratory physiology and insufficiency
AU - Pepe, P. E.
PY - 1989
Y1 - 1989
N2 - Respiratory insufficiency is one of the most serious physiologic consequences of trauma. From a physiologic viewpoint, early respiratory support for the injured patient is concerned primarily with the safe assurance and maintenance of (1) adequate ventilation (fresh gas exchange to remove secreted CO2) and (2) adequate tissue oxygenation (inflation of alveoli, supplemental oxygen administration, and oxygen delivery to the tissues). From a pragmatic viewpoint, this aspect of care is aimed at answering the following questions: 1. Will the patient need ventilatory support (manual or mechanical breaths)? 2. Will the patient need oxygenation support (hemorrhage control and transfusion, supplemental oxygen, positive pressure lung inflations, or even positive end-expiratory pressure) accompanied by circulatory support? 3. What are the potential complications of these support interventions (for example, barotrauma and circulatory compromise)?
AB - Respiratory insufficiency is one of the most serious physiologic consequences of trauma. From a physiologic viewpoint, early respiratory support for the injured patient is concerned primarily with the safe assurance and maintenance of (1) adequate ventilation (fresh gas exchange to remove secreted CO2) and (2) adequate tissue oxygenation (inflation of alveoli, supplemental oxygen administration, and oxygen delivery to the tissues). From a pragmatic viewpoint, this aspect of care is aimed at answering the following questions: 1. Will the patient need ventilatory support (manual or mechanical breaths)? 2. Will the patient need oxygenation support (hemorrhage control and transfusion, supplemental oxygen, positive pressure lung inflations, or even positive end-expiratory pressure) accompanied by circulatory support? 3. What are the potential complications of these support interventions (for example, barotrauma and circulatory compromise)?
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UR - http://www.scopus.com/inward/citedby.url?scp=0024533075&partnerID=8YFLogxK
M3 - Article
C2 - 2643180
AN - SCOPUS:0024533075
VL - 69
SP - 157
EP - 173
JO - Surgical Clinics of North America
JF - Surgical Clinics of North America
SN - 0039-6109
IS - 1
ER -