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Stabilisation des Notfallpatienten - Teil 3: Bewusstsein


Sigrist, Nadja (2010). Stabilisation des Notfallpatienten - Teil 3: Bewusstsein. Kleintierpraxis, 55(6):319-330.

Abstract

The emergency patient with decreased consciousness is identified by clinical examination of pupil size and reaction, additional brain stem reflexes, level of consciousness and motor activity. Priority stabilisation of respiration and perfusion is mandatory in the management of patients with neurological disease and is part of the strategy aimed at preventing secondary neuronal damage induced by hypoxia, hypercapnia and decreased cerebral perfusion. The goal of emergency stabilisation is the maintenance of a normal ventilation and oxygenation as well as keeping the mean arterial blood pressure above 70 mmHg. Hypertonic saline, mannitol and sedation may be indicated with signs of increased intracranial pressure. Seizures must be treated immediately and some patients may require anaesthesia and positive pressure ventilation

Abstract

The emergency patient with decreased consciousness is identified by clinical examination of pupil size and reaction, additional brain stem reflexes, level of consciousness and motor activity. Priority stabilisation of respiration and perfusion is mandatory in the management of patients with neurological disease and is part of the strategy aimed at preventing secondary neuronal damage induced by hypoxia, hypercapnia and decreased cerebral perfusion. The goal of emergency stabilisation is the maintenance of a normal ventilation and oxygenation as well as keeping the mean arterial blood pressure above 70 mmHg. Hypertonic saline, mannitol and sedation may be indicated with signs of increased intracranial pressure. Seizures must be treated immediately and some patients may require anaesthesia and positive pressure ventilation

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Additional indexing

Other titles:Stabilisation of the emergency patient - Part 3: Central nervous system
Item Type:Journal Article, refereed, original work
Communities & Collections:05 Vetsuisse Faculty > Veterinary Clinic > Department of Small Animals
Dewey Decimal Classification:570 Life sciences; biology
630 Agriculture
Uncontrolled Keywords:brain edema, intracranial pressure, cerebral perfusion, status epilepticus, brain trauma
Language:German
Date:2010
Deposited On:27 Apr 2016 11:19
Last Modified:13 Oct 2016 06:52
Publisher:M. & H. Schaper GmbH
ISSN:0023-2076
Official URL:http://vetline.de/stabilisation-notfallpatienten-bewusstsein/150/2819/70245

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