Table 1 Evolution of respiratory care bundle in patients with brain injury [8,9,10,11,12]
From: Respiratory Management in Patients with Severe Brain Injury
Current practice | Evolution of practice | |
|---|---|---|
Tidal volume | > 8 ml/kg IBW | 6–7 ml/kg IBW |
PEEP | 0–3 cmH2O | ≥ 5 cmH2O |
Extubation management | Awaiting recovery or awareness | Negative fluid balance Cough Gag reflex VISAGE score: – Age < 40 – GGS > 10 – Visual pursuit – Swallowing |
Tracheostomy management | ? | ? |