Respiratory Support: Maximize Oxygenation

• Hypoxemia is predictive of morbidity

  • Ong et al. (1996) Pediatric Neurosurgery, 24(6)

• Neurogenic pulmonary edema, concurrent lung injury, development of ARDS may be present

  • Is use of Positive End Expiratory Pressure to maximize oxygenation a safe practice?

    • May impair cerebral venous return

      • Cooper et al. (1985) Journal of Neurosurgery, 63
    • PEEP > 10 cm H2O increases ICP

      • Feldman et al. (1997) Journal of Neurosurgical Anesthesiology, 9(2)

Previous slide

Next slide

Back to first slide

View graphic version