Abstrakt

Peritoneal assisted ventilation in a severely head injured patient by use of Perfluorocarbons PFC.

Abbas Alnaji

Severe head injured patients are usually associated with low GCS score. Many neurosurgical centers in the world use to put patient with CGS < 7 on controlled mechanical ventilation for better management of brain edema by securing optimal blood oxygenation and carbon dioxide CO2 level or to hyperventilate the patient. Isolated head injury or multiple injury are in some percent of the cases are associated with respiratory distress syndrome RDS or a direct lung trauma as part of multiple injury. The later lung status makes the lung as first line to normal oxygenation is out of order however a high mechanical pressure and oxygen concentration are used. Peritoneum was a very good friend in many conditions like a role in renal failure dialysis and some instances of blood transfusion. So due to such peritoneal cavity properties the use non-irritant solution which is in the same time has an oxygen-carbon dioxide exchange capacity to aid or replace the impaired lung to oxygenate the blood and in the same time get rid of CO2 . This inert solution is the perfluorocarbones PFC that sometimes was used to use as a blood substituent which can be transfused into the blood vessels to replace lost volume of blood with is magic capacity to take the role of hemoglobin.