VENTIlatory strategies for patients with severe traumatic brain injury in the LOw- and Middle-Income CountrieS. The VENTILOMICS survey

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Critical Care Science 2025 Cilt 37

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Scopus Yazarları: Gentle S. Shrestha, Edoardo Picetti, Carina Balasini, Diego Perez, Gabriela Izzo, Juan Ignacio Mele, Sebastián Vásquez-García, Edgar O. Izquierdo, Aman Edao Bime, Amria Shamil Shafi, Ataklti Adhanom Woldearegay, Befekadu Ali, Habtamu Tilahun Aniley, Hewan Fesehatsion Teklehaimanot, Natnael Kinfe, Nura Kedir, Nura Nasser, Samuel Shisema, Taresa Dechasa Fite, Taye Tesfa, Yonathan Abebe Bulto, Akhil Mohanan Sugatha, Ankur Luthra, Barkha Bindu, Basjinder Kaur, Chandini Kukanti, Deep Sengupta, Devachandran Jayakumar, Gunchan Paul, Inderpreet Singh Walia, Indranil Ghosh, Jaya Wanchoo, Kalavathy Swarna, Kallol Deb, Kanwalpreet Sodhi, Kiran L. Kiro, Lawni Goswami, Madhuri Garg, Manoj Kumar Gatlawar, Monica S. Tandon, Murali Thangaraj, Navneh Samagh, Neha Bhandari, Nikhilesh Jain, Nishant Shetty, Prajakta Sunil Lanjewar, Pratheema Ramachandran, Rajishth Mittal, Rekha Pradhan, Sampath, P. Sivaraj, Sneha Pandit, Srinivas Samavedam, Uma Hariharan, Vasudha Singhal, Vinay Singhal, Yash Javeri, Ade Winata, Akhyar Nur Uhud, Indu Kapoor, Bernardo Dorfman, Carina Tolosa, Christian Casabella, Aigerim Eltaeva, Aset Zhulashev, Azamat, Bekzhan Serikovich, Maya Abdrakhmanova, Murat Daribayev, Hemanshu Prabhakar, Chiara Robba, Marcus J. Schultz, Ferioli Alejandro Martín, Jorgelina María Guyon Araujo, Luciano Berloni, Dhania Santosa, Sinta Irina, Charu Mahajan, Kalaivani Mani, Alejandro Hlavnicka, Álvaro del Portillo, Ana Maria Mazzola, Giovanna Salinas, Leandro Tumino, Maria Gabriela Rodríguez Alvarez, Natalia Fernandez, Pablo Centeno, Fredy Sandi, Gabriela Andrea Rivero Guzmán, Luis Arturo Lavadenz Cuentas, Luis David Sanga, Marcela Carola Mérida Iporre, Víctor Alanis Mirones, Cássia Righy, Eduardo Leite Vieira Costa, Eder Caceres, Heinznel Negrete Pérez, Jairo Figueroa, Juan Ciro, Ricardo Romero Figueroa

Özet

Objective: To revisit the VENTIlatory Strategies for Patients with Severe Traumatic Brain Injury (VENTILO) survey, focusing on ventilatory management practices among healthcare professionals in low-and middle-income countries. Methodology: A cross-sectional on-line survey, VENTIlatory strategies for patients with severe traumatic brain injury in the LOw-and Middle-Income CountrieS (VENTILOMICS), was conducted using the original VENTILO survey questionnaire, developed following a review of literature on respiratory management in traumatic brain injury patients, captured demographics of participants, type of hospital/specialty and available neuromonitoring tools; protocols for mechanical ventilation and weaning, and respiratory management strategies. Descriptive statistics were computed for all study variables. We analyzed data based on the economic status of the low-and middle-income countries. Results: There were 204 respondents from 28 low-and middle-income countries. Our results indicate that 55-70% of respondents recommend tidal volumes of 6-8mL/kg for patients with high or medium partial pressure of arterial oxygen/inspired fraction of oxygen, while tidal volumes of 4-6mL/kg is preferred for those with low partial pressure of arterial oxygen/inspired fraction of oxygen ratios. For patients with intracranial hypertension, lower positive end-expiratory pressure levels were utilized. Conclusion: The findings suggest a consistent approach to lung-protective ventilation across low-and middle-income countries, with notable variations influenced by local resources and economic status. This study highlights the necessity for tailored research and guidelines to address the specific challenges faced in traumatic brain injury management within low-and middle-income countries.

Anahtar Kelimeler (Scopus)

Brain injury Critical care traumatic artificial Developing countries Economic status Internationality Respiration Survey and questionnaires

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