General information

Traumatic brain injured patients often require prolonged mechanical ventilation, and they are at high risk of respiratory complications, including aspiration pneumonia, pulmonary contusion related to chest trauma, neurogenic pulmonary oedema, etc. Therefore, the potential role of protective lung ventilation, which demonstrated to reduce postoperative complications in the general population with and without acute distress respiratory syndrome, has been suggested even in this group of patients. However, lung protective ventilation can increase intracranial pressure as result of permissive hypercapnia and of high airway pressures during recruitment maneuvers or prone position.  The utility of these strategies has been proved in several groups if patients, but their use in neurocritical care patients is still uncertain.

The aim of this survey is to assess the current clinical practice, the ventilatory targets and management in patients with traumatic brain injury with or without acute distress respiratory syndrome.

The survey is anonymous.

Thank you for your participation.

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* 1. Gender

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* 2. Age

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* 4. Affiliation

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* 5. Professional category

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* 6. Post-specialization experience in critical care (in years):

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* 7. Speciality

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* 8. Number of beds in your ICU with neuro patients – general or specialized

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* 9. Type of intensive care unit (ICU)

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* 10. Type of bedside neuromonitoring available in your unit
(tick all that apply)

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* 11. Do you currently use in your clinical practice a standard protocol for mechanical ventilation in TBI patients?

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