Randomized trial observes lung protective ventilation in severe acute brain injury, highlighting unresolved effects on cerebral hemodynamics and carbon dioxide.
Lung protective strategies using low tidal volumes and moderate positive end expiratory pressures (PEEP) are considered best practice in critical care, but interventional trials have never been conducted in acutely brain-injured patients due to concerns about carbon dioxide control and effect of PEEP on cerebral hemodynamic.
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Mascia et al. (2024) studied this question.
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