Spinal cord injury: is monitoring from the injury site the future?
Crit Care
; 20(1): 308, 2016 Oct 05.
Article
em En
| MEDLINE
| ID: mdl-27716379
ABSTRACT
This paper challenges the current management of acute traumatic spinal cord injury based on our experience with monitoring from the injury site in the neurointensive care unit. We argue that the concept of bony decompression is inadequate. The concept of optimum spinal cord perfusion pressure, which differs between patients, is introduced. Such variability suggests individualized patient treatment. Failing to optimize spinal cord perfusion limits the entry of systemically administered drugs into the injured cord. We conclude that monitoring from the injury site helps optimize management and should be subjected to a trial to determine whether it improves outcome.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Perfusão
/
Traumatismos da Medula Espinal
/
Pressão Arterial
Limite:
Animals
/
Humans
Idioma:
En
Revista:
Crit Care
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Reino Unido