[Pulmonary hemodynamics during different regimens of AMV in patients with severe craniocerebral trauma]

Investigation of pulmonary hemodynamics were carried out in 26 victims operated on for brain compression with intracranial (epi-, subdural, and intracerebral) hematomas in combination with severe contusions during different regimes of artificial ventilation of the lungs (VCV, VCV + PEEP, PCV). Intracranial pressure and cerebral perfusion pressure were evaluated. The results indicate that in patients with severe craniocerebral injury PCV decreased systolic pulmonary artery pressure, total pulmonary resistance, central venous pressure, intracranial pressure, increased cerebral perfusion pressure, and therefore the pressure cyclic mode is pathogenetically validated in this patient population.