A patient with a severe traumatic brain injury has been intubated by a critical care team and you are managing ventilation and circulation during

Question

A patient with a severe traumatic brain injury has been intubated by a critical care team and you are managing ventilation and circulation during transfer. Oxygen saturations are 99 percent, end-tidal carbon dioxide is 3.2 kPa and the blood pressure is 95/60.

Accepted Answer

Adjust ventilation to normocapnia and maintain the systolic pressure above 110 mmHg.

Answer

Reduce the inspired oxygen to achieve an oxygen saturation target of 90 percent.

Answer

Permit a systolic pressure of 80 mmHg in order to limit any bleeding.

Answer

Maintain the current hyperventilation in order to reduce intracranial pressure.

Answer

Give a fluid bolus to target a systolic pressure of 140 mmHg and continue hyperventilation.

Traumatic brain injury (physiology) — DIPIMC MCQ

A patient with a severe traumatic brain injury has been intubated by a critical care team and you are managing ventilation and circulation during transfer. Oxygen saturations are 99 percent, end-tidal carbon dioxide is 3.2 kPa and the blood pressure is 95/60.