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CC BY 4.0 · Indian Journal of Neurotrauma 2024; 21(01): 001-005
DOI: 10.1055/s-0042-1760416
Review Article

Airway Management of Suspected Traumatic Brain Injury Patients in the Emergency Room

Indubala Maurya
1   Department of Anaesthesiology, Kalyan Singh Super Specialty Cancer Institute, CG City, Lucknow, Uttar Pradesh, India
,
Ved Prakash Maurya 
2   Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh, India
,
Rakesh Mishra
3   Department of Neurosurgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
,
Luis Rafael Moscote-Salazar
4   Critical Care Unit, Latinamerica Council of Neurocritical Care (CLaNi), Colombia
,
Tariq Janjua 
5   Department of Critical Care Medicine, Physician Regional Medical Center, Naples, Florida, United States
,
Mohd Yunus
6   Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Saket Nagar, Bhopal, Madhya Pradesh, India
,
Amit Agrawal 
6   Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Saket Nagar, Bhopal, Madhya Pradesh, India
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Abstract

The patients of trauma offers a special challenge because of the associated head injury, maxillofacial, neck and spine injuries, which puts the airway at imminent risk. The response time for the emergency team to initiate the airway management determines the outcome of the individual undergoing treatment. A judious implementatin of triage and Advanced Trauma Life Suport (ATLS) guidelines are helpful in the allocation of resources in airway management of trauma patients. One must not get distracted with the severity of other organ systems because cerebral tissue permits a low threshold to the hypoxic insults. Adequate preparedness and a team effort result in better airway management and improved outcomes in trauma patients with variable hemodynamic response to resuscitation. All possible efforts must be made to secure a definitive airway (if required) and should be verified clinically as well as with the available adjuncts. The success of a trauma team depends on the familiarity to the airways devices and their discrete application in various situations.

Keywords

airway management - trauma - emergency - intubation - ventilation - oxygenation


Publication History

Article published online:
18 January 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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