• John R Bach, Lindsay Burke, and Michael Chiou.
• Department of Physical Medicine and Rehabilitation, Rutgers University New Jersey Medical School, Behavioral Health Sciences Building, 183 South Orange Avenue, Newark, NJ 07103, USA. Electronic address: bachjr@njms.rutgers.edu.
• Phys Med Rehabil Clin N Am. 2020 Aug 1; 31 (3): 379-395.

AbstractRespiratory complications often result from acute spinal cord injury. Ventilatory assistance/support is often required 12 hours to 6 days after admission and is typically delivered via translaryngeal tubes. When not weanable from ventilatory support, tracheostomy tubes are placed. Supplemental O2 is often provided irrespective of whether or not the patient is hypoxic. This renders the oximeter ineffective as a gauge of alveolar ventilation, airway secretion management, and residual lung disease, and can exacerbate hypercapnia. Thus, hypoventilation and airway secretions must be effectively treated to prevent lung disease and to maintain normal O2 saturation and CO2 levels without supplemental O2.Copyright © 2020 Elsevier Inc. All rights reserved.

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