Key messages

• Respiratory complications are an important cause of morbidity and mortality in neurosurgical patients.

• Normal arterial blood gases are a prerequisite for good neurological recovery after brain injury.

• Respiratory failure in neurosurgical patients may occur secondary to intra- and extracranial complications.

• Neurogenic pulmonary edema is caused by an increase in sympathetic activity secondary to a combination of factors.

• Comatose patients and those with bulbar palsies require careful respiratory management and airway protection.

• Therapeutic hyperventilation is an important tool in the acute management of intracranial hypertension but its use over several days has never been shown to improve outcome.

• Overzealous hyperventilation may precipitate cerebral ischemia secondary to cerebral vasoconstriction.

• Cerebral perfusion pressure must be maintained during intensive respiratory support of neurosurgical patients by adjustment of posture and level of positive end-expiratory pressure and by cardiovascular support.

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

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