Management of acute spinal cord injury in the neurocritical care

Neurosurg. Clin. N. Am. · Jul 2013

Review

Management of acute spinal cord injury in the neurocritical care unit.

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. ⋯ 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.

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- Linton T Evans, Stuart Scott Lollis, and Perry A Ball.
- Section of Neurosurgery, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA. Linton.T.Evans@Hitchcock.org
- Neurosurg. Clin. N. Am. 2013 Jul 1; 24 (3): 339-47.
AbstractAcute 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. Copyright © 2013 Elsevier Inc. All rights reserved.

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Management of acute spinal cord injury in the neurocritical care unit.

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