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.
引用
收藏
页码：339 / +
页数：10
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