Management of Acute Spinal Cord Injury in the Neurocritical Care Unit

被引：14
作者：
Evans, Linton T. [1 ]
Lollis, Stuart Scott [1 ]
Ball, Perry A. [1 ,2 ]
机构：
[1] Dartmouth Hitchcock Med Ctr, Neurosurg Sect, Lebanon, NH 03756 USA
[2] Dartmouth Hitchcock Med Ctr, Dept Anesthesiol, Lebanon, NH 03756 USA
来源：
NEUROSURGERY CLINICS OF NORTH AMERICA | 2013年 / 24卷 / 03期
关键词：
Spinal cord injury; Neurogenic shock; Mechanical ventilation; Thromboembolism; RANDOMIZED CONTROLLED-TRIAL; DEEP-VEIN THROMBOSIS; AUTONOMIC DYSREFLEXIA; TIRILAZAD MESYLATE; AIRWAY MANAGEMENT; MAJOR TRAUMA; METHYLPREDNISOLONE; EPIDEMIOLOGY; PATHOPHYSIOLOGY; DYSFUNCTION;
D O I：
10.1016/j.nec.2013.02.007
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Acute spinal cord injury (SCI) is associated with widespread disturbances not only affecting neurologic function but also leading to hemodynamic instability and respiratory failure. Traumatic SCI rarely occurs in isolation, and frequently is accompanied by trauma to other organ systems. Management of individuals with SCI is complex, requiring aggressive monitoring and prompt treatment when complications arise. Typically this level of care is provided in the neurocritical care unit. This article reviews the pathophysiology of the neurologic, cardiovascular, and pulmonary derangements following traumatic SCI and their management in the critical care setting.
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页码：339 / +
页数：10
相关论文
共 60 条
  • [1] BRONCHODILATORY EFFECTS OF IPRATROPIUM BROMIDE IN PATIENTS WITH TETRAPLEGIA
    ALMENOFF, PL
    ALEXANDER, LR
    SPUNGEN, AM
    LESSER, MD
    BAUMAN, WA
    [J]. PARAPLEGIA, 1995, 33 (05): : 274 - 277
  • [2] [Anonymous], 2002, NEUROSURGERY S3, V50, pS73
  • [3] Critical care of spinal cord injury
    Ball, PA
    [J]. SPINE, 2001, 26 (24) : S27 - S30
  • [4] EFFICACY OF METHYLPREDNISOLONE IN ACUTE SPINAL-CORD INJURY
    BRACKEN, MB
    COLLINS, WF
    FREEMAN, DF
    SHEPARD, MJ
    WAGNER, FW
    SILTEN, RM
    HELLENBRAND, KG
    RANSOHOFF, J
    HUNT, WE
    PEROT, PL
    GROSSMAN, RG
    GREEN, BA
    EISENBERG, HM
    RIFKINSON, N
    GOODMAN, JH
    MEAGHER, JN
    FISCHER, B
    CLIFTON, GL
    FLAMM, ES
    RAWE, SE
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1984, 251 (01): : 45 - 52
  • [5] A RANDOMIZED, CONTROLLED TRIAL OF METHYLPREDNISOLONE OR NALOXONE IN THE TREATMENT OF ACUTE SPINAL-CORD INJURY - RESULTS OF THE 2ND NATIONAL ACUTE SPINAL-CORD INJURY STUDY
    BRACKEN, MB
    SHEPARD, MJ
    COLLINS, WF
    HOLFORD, TR
    YOUNG, W
    BASKIN, DS
    EISENBERG, HM
    FLAMM, E
    LEOSUMMERS, L
    MAROON, J
    MARSHALL, LF
    PEROT, PL
    PIEPMEIER, J
    SONNTAG, VKH
    WAGNER, FC
    WILBERGER, JE
    WINN, HR
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1990, 322 (20) : 1405 - 1411
  • [6] Methylprednisolone or tirilazad mesylate administration after acute spinal cord injury: 1-year follow up - Results of the third National Acute Spinal Cord Injury randomized controlled trial
    Bracken, MB
    Shepard, MJ
    Holford, TR
    Leo-Summers, L
    Aldrich, EF
    Fazl, M
    Fehlings, MG
    Herr, DL
    Hitchon, PW
    Marshall, LF
    Nockels, RP
    Pascale, V
    Perot, PL
    Piepmeier, J
    Sonntag, VKH
    Wagner, F
    Wilberger, JE
    Winn, HR
    Young, W
    [J]. JOURNAL OF NEUROSURGERY, 1998, 89 (05) : 699 - 706
  • [7] METHYLPREDNISOLONE OR NALOXONE TREATMENT AFTER ACUTE SPINAL-CORD INJURY - 1-YEAR FOLLOW-UP DATA - RESULTS OF THE 2ND NATIONAL ACUTE SPINAL-CORD INJURY STUDY
    BRACKEN, MB
    SHEPARD, MJ
    COLLINS, WF
    HOLFORD, TR
    BASKIN, DS
    EISENBERG, HM
    FLAMM, E
    LEOSUMMERS, L
    MAROON, JC
    MARSHALL, LF
    PEROT, PL
    PIEPMEIER, J
    SONNTAG, VKH
    WAGNER, FC
    WILBERGER, JL
    WINN, HR
    YOUNG, W
    [J]. JOURNAL OF NEUROSURGERY, 1992, 76 (01) : 23 - 31
  • [8] Administration of methylprednisolone for 24 or 48 hours or tirilazad mesylate for 48 hours in the treatment of acute spinal cord injury - Results of the Third National Acute Spinal Cord Injury Randomized Controlled Trial
    Bracken, MB
    Shepard, MJ
    Holford, TR
    LeoSummers, L
    Aldrich, EF
    Fazl, M
    Fehlings, M
    Herr, DL
    Hitchon, PW
    Marshall, LF
    Nockels, RP
    Pascale, V
    Perot, PL
    Piepmeier, J
    Sonntag, VKH
    Wagner, F
    Wilberger, JE
    Winn, HR
    Young, W
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 277 (20): : 1597 - 1604
  • [9] Steroids for acute spinal cord injury
    Bracken, Michael B.
    [J]. COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2012, (01):
  • [10] Brown R, 2006, RESP CARE, V51, P853
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