Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients With Thoracolumbar Spine Trauma: Hemodynamic Management

被引:6
作者
Dhall, Sanjay S. [1 ]
Dailey, Andrew T. [2 ]
Anderson, Paul A. [3 ]
Arnold, Paul M. [4 ]
Chi, John H. [5 ]
Eichholz, Kurt M. [6 ]
Harrop, James S. [7 ,8 ]
Hoh, Daniel J. [9 ]
Qureshi, Sheeraz [10 ]
Rabb, Craig H. [2 ]
Raksin, P. B. [11 ,12 ]
Kaiser, Michael G. [13 ]
O'Toole, John E. [12 ]
机构
[1] Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA USA
[2] Univ Utah, Dept Neurosurg, Salt Lake City, UT USA
[3] Univ Wisconsin, Dept Orthoped & Rehabil, Madison, WI USA
[4] Univ Kansas, Sch Med, Dept Neurosurg, Kansas City, KS USA
[5] Harvard Med Sch, Brigham & Womens Hosp, Dept Neurosurg, Boston, MA 02115 USA
[6] St Louis Minimally Invas Spine Ctr, St Louis, MO USA
[7] Thomas Jefferson Univ, Dept Neurol Surg, Philadelphia, PA 19107 USA
[8] Thomas Jefferson Univ, Dept Orthoped Surg, Philadelphia, PA 19107 USA
[9] Univ Florida, Lillian S Wells Dept Neurol Surg, Gainesville, FL USA
[10] Weill Cornell Med Coll, Dept Orthopaed Surg, New York, NY USA
[11] Rush Univ, Med Ctr, John H Stroger Jr Hosp Cook Cty, Div Neurosurg, Chicago, IL 60612 USA
[12] Rush Univ, Med Ctr, Dept Neurol Surg, Chicago, IL 60612 USA
[13] Columbia Univ, Dept Neurosurg, New York, NY USA
关键词
Hemodynamic management; Mean arterial pressure; Thoracolumbar spinal cord injury; VASOPRESSOR USAGE;
D O I
10.1093/neuros/nyy368
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
QUESTION: Does the active maintenance of arterial blood pressure after injury affect clinical outcomes in patients with thoracic and lumbar fractures? RECOMMENDATIONS: There is insufficient evidence to recommend for or against the use of active maintenance of arterial blood pressure after thoracolumbar spinal cord injury. Grade of Recommendation: Grade Insufficient However, in light of published data from pooled (cervical and thoracolumbar) spinal cord injury patient populations, clinicians may choose to maintain mean arterial blood pressures >85 mm Hg in an attempt to improve neurological outcomes. Consensus Statement by the Workgroup
引用
收藏
页码:E43 / E45
页数:3
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