Acta anaesthesiologica Scandinavica. Supplementum
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Patients with head injury need effective help. The restoration of disturbed ventilation and an impaired general circulation is important. Concomitant injuries, which occur in about 40% of cases, should be recognized. ⋯ The patients are given normal volumes of colloid fluids or water electrolyte solutions. A long-lasting muscle relaxation will impede clinical assessment. Cerebral protection and effective drug treatment of the lesions is still under debate: Nimodepine in traumatic SAH and glucosteroids in local lesions with BBB rupture, however, seem to be effective.
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Acta Anaesthesiol Scand Suppl · Jan 1997
Comparative StudyAirway management and ventilation during CPR.
In this porcine model of fibrillatory cardiac arrest (Table 1), ventilation during basic life support does not improve 24-hour survival or neurological outcome compared to chest compressions alone when advanced life support is provided within 15 minutes of arrest. Bystander CPR can save lives, but is usually not offered, at least in part, because of reluctance to perform mouth-to-mouth ventilation. If chest compressions alone are similarly effective and more acceptable compared to chest compressions and mouth-to-mouth ventilation, the simpler technique may result in more lives saved.