Pre-hospital endotracheal intubation in severe traumatic brain injury: ventilation targets and mortality-a retrospective analysis of 308 patients.

Publication

Pre-hospital endotracheal intubation in severe traumatic brain injury: ventilation targets and mortality-a retrospective analysis of 308 patients.

Journal Paper/Review - Sep 12, 2023

Knapp Jürgen, Doppmann Pascal, Huber Markus, Meuli Lorenz, Albrecht Roland, Sollid Stephen J M, Pietsch Urs

Citation

Knapp J, Doppmann P, Huber M, Meuli L, Albrecht R, Sollid S, Pietsch U. Pre-hospital endotracheal intubation in severe traumatic brain injury: ventilation targets and mortality-a retrospective analysis of 308 patients. Scand J Trauma Resusc Emerg Med 2023; 31:46.

Type

Journal Paper/Review (English)

Journal

Scand J Trauma Resusc Emerg Med 2023; 31

Publication Date

Sep 12, 2023

Issn Electronic

1757-7241

Brief description/objective

Traumatic brain injury (TBI) remains one of the main causes of mortality and long-term disability worldwide. Maintaining physiology of brain tissue to the greatest extent possible through optimal management of blood pressure, airway, ventilation, and oxygenation, improves patient outcome. We studied the quality of prehospital care in severe TBI patients by analyzing adherence to recommended target ranges for ventilation and blood pressure, prehospital time expenditure, and their effect on mortality, as well as quality of prehospital ventilation assessed by arterial partial pressure of CO (PaCO) at hospital admission.