Respiratory care of patients with cervical spinal cord injury: a review

被引:1
作者
Arora, Sumesh [1 ]
Flower, Oliver [2 ]
Murray, Nicholas P. S. [1 ]
Lee, Bonsan B. [1 ,3 ]
机构
[1] Prince Wales Hosp, Sydney, NSW, Australia
[2] Royal N Shore Hosp, Sydney, NSW, Australia
[3] Univ New S Wales, Fac Publ Hlth, Sydney, NSW, Australia
关键词
IN-LINE STABILIZATION; LOWER TIDAL VOLUMES; ACUTE LUNG INJURY; MECHANICAL VENTILATION; TETRAPLEGIC PATIENTS; PULMONARY-FUNCTION; INTERCOSTAL MUSCLES; AIRWAY MANAGEMENT; RIB CAGE; TRACHEAL INTUBATION;
D O I
暂无
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Respiratory complications following cervical spinal cord injury are common and are the leading cause of morbidity and mortality after this type of injury. Impaired mechanics of ventilation, poor cough, increased secretions and bronchospasm predispose to atelectasis, pneumonia and exacerbations of respiratory failure. Prolonged mechanical ventilation and tracheostomy are often required. This review discusses the relevant pathophysiology, various ventilatory strategies and timing of tracheostomy, and examines the evidence surrounding physiotherapeutic and pharmacological treatment options.
引用
收藏
页码:64 / 73
页数:10
相关论文
共 92 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], 2000, N ENGL J MED, V342, P1301
  • [3] Atito-Narh E., 2008, BRIT J INTENSIVE CAR, V18, P95
  • [4] DIAPHRAGMATIC FUNCTION FOLLOWING CERVICAL CORD INJURY - NEURALLY MEDIATED IMPROVEMENT
    AXEN, K
    PINEDA, H
    SHUNFENTHAL, I
    HAAS, F
    [J]. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1985, 66 (04): : 219 - 222
  • [5] Video Laryngoscopy with the Macintosh Video Laryngoscope in Simulated Prehospital Scenarios by Paramedic Students
    Aziz, Michael
    Dillman, Dawn
    Kirsch, Jeffrey R.
    Brambrink, Ansgar
    [J]. PREHOSPITAL EMERGENCY CARE, 2009, 13 (02) : 251 - 255
  • [6] Extubation of Patients With Neuromuscular Weakness A New Management Paradigm
    Bach, John Robert
    Concalves, Miguel R.
    Hamdani, Irram
    Winck, Joao Carlos
    [J]. CHEST, 2010, 137 (05) : 1033 - 1039
  • [7] Lung mechanics in individuals with spinal cord injury: effects of injury level and posture
    Baydur, A
    Adkins, RH
    Milic-Emili, J
    [J]. JOURNAL OF APPLIED PHYSIOLOGY, 2001, 90 (02) : 405 - 411
  • [8] Ventilatory Response to Hypercapnia in C5-8 Chronic Tetraplegia: The Effect of Posture
    Ben-Dov, Issahar
    Zlobinski, Rachel
    Segel, Michael J.
    Gaides, Mark
    Shulimzon, Tiberiu
    Zeilig, Gabriel
    [J]. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2009, 90 (08): : 1414 - 1417
  • [9] A longitudinal evaluation of sleep and breathing in the first year after cervical spinal cord injury
    Berlowitz, DJ
    Brown, DJ
    Campbell, DA
    Pierce, RJ
    [J]. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2005, 86 (06): : 1193 - 1199
  • [10] A classification and regression tree to assist clinical decision making in airway management for patients with cervical spinal cord injury
    Berney, S. C.
    Gordon, I. R.
    Opdam, H. I.
    Denehy, L.
    [J]. SPINAL CORD, 2011, 49 (02) : 244 - 250