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Intensive Care Unit Hospital General San Juan del Río
This review examines blood pressure management in intracerebral haemorrhage, highlighting the need to prevent haematoma expansion without causing cerebral hypoperfusion. Guidelines recommend early intervention with systolic targets of 130–150 mmHg, avoiding levels below 130 mmHg. The absence of standardised regimens underscores the need for individualised, evidence-based strategies. 1
READ MOREThis review highlights airway management in traumatic brain injury, focusing on strategies to prevent secondary brain injury. Key interventions include advanced preoxygenation, haemodynamic stabilisation, cautious sedation, selective use of prehospital intubation or supraglottic devices, protective ventilation, and early antibiotic prophylaxis to reduce ventilator-associated pneumonia. 1
READ MOREThe management of acute respiratory distress syndrome (ARDS) in traumatic brain injury (TBI) patients presents unique challenges due to the need for lung-protective ventilation while maintaining cerebral perfusion. This article examines optimal ventilation strategies, oxygenation targets, fluid management, and adjunctive therapies to balance pulmonary and neurological outcomes in critically ill1
READ MORECorticosteroids are commonly used drugs in multiple diseases and conditions of critically ill patients. In this article, we review the pharmacology of corticosteroids and provide recommendations for their use in the ICU based on the best available evidence. Corticosteroids: Pharmacology and General Aspects Corticosteroids are hormones synthesised in the adrenal cortex from c
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