Ventilator management: A practical approach to respiratory failure in combat casualties

Anita A. Shah, Paul B. Kettle, Alexander Niven

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The survival of combat casualties from the point of injury to definitive medical care has significantly improved over the last decade. Survival is >95% for casualties who survive their initial injury and are evacuated to definitive care. This improvement can be credited to several factors, including advances in body armor, an improved skill set of prehospital personnel, the presence of forward surgical teams, the availability of surgical and critical care assets in austere environments, and deployment of an increased number of soldiers skilled in basic and advance trauma life support. Early and effective management of battlefield casualties can be successful when the basic principles of prehospital, trauma, and critical care are maintained throughout the entire medical evacuation process. A critical care-trained physician may not be available to treat casualties; thus, all deploying physicians should be familiar with principles of respiratory failure and ventilator management.

Original languageEnglish (US)
Title of host publicationFront Line Surgery
Subtitle of host publicationA Practical Approach
PublisherSpringer International Publishing
Pages631-646
Number of pages16
ISBN (Electronic)9783319567808
ISBN (Print)9783319567792
DOIs
StatePublished - Jul 21 2017
Externally publishedYes

Keywords

  • Acute respiratory distress syndrome (ARDS)
  • Airway pressure release ventilation (APRV)
  • Blast lung injury
  • Casualties
  • Combat
  • Combat zone
  • Extracorporeal membrane oxygenation
  • Lung protective ventilation
  • Oxygenation
  • Respiratory failure
  • Ventilation
  • Ventilator management

ASJC Scopus subject areas

  • Medicine(all)

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