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Stabilisation of the emergency patient Part III: Central nervous system


Sigrist, Nadja (2011). Stabilisation of the emergency patient Part III: Central nervous system. European Journal of Companion Animal Practice (EJCAP), 21(2):143-150.

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 diseases and is part of the strategy aiming at preventing secondary neuronal damage induced by hypoxia, hypercapnia and decreased cerebral perfusion. The goal of the emergency stabilisation is maintenance of normal ventilation and oxygenation as well as keeping mean arterial blood pressure above 70 mm Hg. 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 diseases and is part of the strategy aiming at preventing secondary neuronal damage induced by hypoxia, hypercapnia and decreased cerebral perfusion. The goal of the emergency stabilisation is maintenance of normal ventilation and oxygenation as well as keeping mean arterial blood pressure above 70 mm Hg. 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

Item Type:Journal Article, not_refereed, original work
Communities & Collections:05 Vetsuisse Faculty > Veterinary Clinic > Department of Small Animals
Dewey Decimal Classification:570 Life sciences; biology
630 Agriculture
Language:English
Date:2011
Deposited On:27 Apr 2016 16:14
Last Modified:17 Feb 2018 16:01
Publisher:Federation of European Companion Animal Veterinary Association
ISSN:1018-2357
OA Status:Green
Free access at:Publisher DOI. An embargo period may apply.
Official URL:http://www.fecava.org/sites/default/files/fecava_21.2.pdf

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