Sedation for Rapid Sequence Induction and Intubation of Neurologically Injured Patients

Emergency Medicine Clinics of North America
Jesse Shriki, Samuel M Galvagno

Abstract

There are subtle physiologic and pharmacologic principles that should be understood for patients with neurologic injuries. These principles are especially true for managing patients with traumatic brain injuries. Prevention of hypotension and hypoxemia are major goals in the management of these patients. This article discusses the physiology, pitfalls, and pharmacology necessary to skillfully care for this subset of patients with trauma. The principles endorsed in this article are applicable both for patients with traumatic brain injury and those with spinal cord injuries.

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brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.