Prophylactic use of hyperventilation in Traumatic Brain Injury

Prophylactic use of hyperventilation in Traumatic Brain Injury

Should hyperventilation be used prophylactically in Traumatic Brain Injury? 

Prophylactic hyperventilation (PaCO of 25 mm Hg or less) is not recommended.

Hyperventilation is recommended as a temporizing measure for the reduction of elevated ICP.

Hyperventilation should be avoided during the first 24 hours after injury when CBF is often critically reduced.

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