Critical care management of patients with acute spinal cord injury

被引：0

作者：

Lo, V. ^{[1
]}

Esquenazi, Y. ^{[1
]}

Han, M. -K. ^{[2
]}

Lee, K. ^{[1
]}

机构：

[1] Univ Texas Houston, Hlth Sci Ctr, Dept Neurosurg, Sch Med, Houston, TX 77030 USA

[2] Seoul Natl Univ, Dept Neurol, Boondang Hosp, Seoul, South Korea

来源：

JOURNAL OF NEUROSURGICAL SCIENCES | 2013年 / 57卷 / 04期

关键词：

Spinal cord injuries; Critical care; Autonomic dysreflexia; Decompression; DEEP VENOUS THROMBOSIS; CERVICAL-SPINE; MECHANICAL VENTILATION; AUTONOMIC DYSFUNCTION; NEUROLOGIC RECOVERY; NERVOUS-SYSTEM; PART I; METHYLPREDNISOLONE; PREVENTION; TRAUMA;

D O I：

暂无

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Spinal cord injury (SCI) inevitably extends beyond neurologic consequences. The relationship between the spinal cord and its control of other organ systems make SCI management complex, requiring treatment on a multisystem approach. Patients frequently have hemodynamic instability and respiratory insufficiency secondary to the neurologic insult. Rigorous monitoring and anticipation of potential complications are essential in managing SCI, requiring a level of care provided in a neurocritical care unit. This review covers the pathophysiology, initial assessment, and stabilization in addition to acute management of cardiovascular and respiratory issues following SCI. Subsequent potential complications of deep vein thrombosis, gastrointestinal, and urinary systems and their management in the critical care setting are also addressed in this review.

引用

页码：281 / 292

页数：12

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