Critical Care of Traumatic Spinal Cord Injury. (January 2013)

• Record Type: Journal Article
• Authors: Jia, Xiaofeng; Kowalski, Robert G.; Sciubba, Daniel M.; Geocadin, Romergryko G.
• Is Part Of: Journal of intensive care medicine. Volume 28:Number 1(2013)
• Page Start: 12
• Page End: 23
• Publication Date: 2013-01
• Subjects: spinal cord injury -- critical care -- treatment -- SCI; Critical care medicine -- Periodicals; Critical Care -- Periodicals; Soins intensifs -- Périodiques; Soins intensifs; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 616.02805
• DOI: 10.1177/0885066611403270
• Languages: English
• ISSNs: 0885-0666

Abstract

Approximately 11 000 people suffer traumatic spinal cord injury (TSCI) in the United States, each year. TSCI incidences vary from 13.1 to 52.2 per million people and the mortality rates ranged from 3.1 to 17.5 per million people. This review examines the critical care of TSCI. The discussion will focus on primary and secondary mechanisms of injury, spine stabilization and immobilization, surgery, intensive care management, airway and respiratory management, cardiovascular complication management, venous thromboembolism, nutrition and glucose control, infection management, pressure ulcers and early rehabilitation, pharmacologic cord protection, and evolving treatment options including the use of pluripotent stem cells and hypothermia.