TY - JOUR
T1 - Critical Care Management of Acute Spinal Cord Injury-Part II
T2 - Intensive Care to Rehabilitation
AU - Sacino, Amanda
AU - Rosenblatt, Kathryn
N1 - Funding Information:
Kathryn Rosenblatt, MD, MHS, is supported by the Stimulating and Advancing ACCM Research (StAAR) Mentored Research Grant from the Johns Hopkins Department of Anesthesiology and Critical Care Medicine.
Publisher Copyright:
© 2019 Indian Society of Neuroanaesthesiology and Critical Care.
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Spinal cord injury is devastating to those affected due to the loss of motor and sensory function, and, in some cases, cardiovascular collapse, ventilatory failure, and bowel and bladder dysfunction. Primary trauma to the spinal cord is exacerbated by secondary insult from the inflammatory response to injury. Specialized intensive care of patients with acute spinal cord injury involves the management of multiple systems and incorporates evidence-based practices to reduce secondary injury to the spinal cord. Patients greatly benefit from early multidisciplinary rehabilitation for neurologic and functional recovery. Treatment of acute spinal cord injury may soon incorporate novel molecular agents currently undergoing clinical investigation to assist in neuroprotection and neuroregeneration.
AB - Spinal cord injury is devastating to those affected due to the loss of motor and sensory function, and, in some cases, cardiovascular collapse, ventilatory failure, and bowel and bladder dysfunction. Primary trauma to the spinal cord is exacerbated by secondary insult from the inflammatory response to injury. Specialized intensive care of patients with acute spinal cord injury involves the management of multiple systems and incorporates evidence-based practices to reduce secondary injury to the spinal cord. Patients greatly benefit from early multidisciplinary rehabilitation for neurologic and functional recovery. Treatment of acute spinal cord injury may soon incorporate novel molecular agents currently undergoing clinical investigation to assist in neuroprotection and neuroregeneration.
KW - autonomic dysreflexia
KW - blunt cerebrovascular injury
KW - hemodynamic monitoring
KW - neurogenic shock
KW - neuropathic pain therapy
KW - neuroprotection
KW - neuroregeneration
KW - spinal cord injury
KW - spinal cord rehabilitation
KW - tracheostomy
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U2 - 10.1055/s-0039-1694686
DO - 10.1055/s-0039-1694686
M3 - Review article
AN - SCOPUS:85108711080
SN - 2348-0548
VL - 6
SP - 222
EP - 235
JO - Journal of Neuroanaesthesiology and Critical Care
JF - Journal of Neuroanaesthesiology and Critical Care
IS - 3
M1 - JNACC1900123
ER -