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Concern about ventilator usage for a patient with gcs score of E2V3M5 - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hi does the patient with gcs score of E2V3M5 need a ventilator
Doctor :   That depends on his respiratory status and the cause for the alteration in conciousness.
User :   Can the wrong ventilation or unnecessary one lead to increase in brain selling
User :   ok
User :   if his score reaches E4VtM5-6 .. can the patient be extubated
Doctor :   Rather than the
Doctor :   EMV score that would depend on his Po2 and ABG values
User :   patient in question is a 26 yr old male
User :   ok thanks for the information
Doctor :   It would depend on his oxygen levels in the blood
Doctor :   You are welcome
User :   so you are saying that taking out tube depends upon P02 and ABG values
User :   ok
Doctor :   Yes, then weaning from a ventilator can be decided upon.
User :   if a ptient has such high consciousness with no previous history of respiratory / cardaic disorder .. would normally be a patient kept on tube
Doctor :   Yes, it would be necessary as the
User :   how long can you keep the tube even after the patient has been kept off ventilator and breathing on his own from oxygen bag
Doctor :   low EMV indicates impairment of the respiratory drive which is given by the nervous system
Doctor :   That is judged by the Po2 levels
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