Abstract
Ten thousand people sustain acute spinal cord injury (SCI) each year in the United States. Almost half of these injuries are fatal at the scene of the accident; however, if a patient survives to hospitalization the mortality rate is now approximately 6% (1). This number stands in stark contrast to the mortality rates of 80 to 90% reported earlier in the 20th century. Much of the improvement in mortality is due to the regionalization of spinal cord injury care, advances in critical care medicine, and in increased understanding of the pathophysiology of the spinal injury process.
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References
Bracken MB, Shepard MJ, Collins WF, et al: A randomized, controlled trial of methylprednisolone or naloxone in the treatment of acute spinal-cord injury. N Engl J Med 322:1405–1411, 1990
Stover SL, Fine PR: The epidemiology and economics of spinal cord injury. Paraplegia 25:225–228, 1987
Ruge JR, Sinson GP, McLone DG, Cerullo LJ: Pediatric spinal injury: the very young. J Neurosurg 68:25–30, 1988
Yakolev AG, Faden AI: Molecular strategies in CNS injury. J Neurotrauma 12:767–777, 1995
Bracken MB, Collins WF, Freeman DF, et al: Efficacy of methylprednisolone in acute spinal cord injury. JAMA 251:45–52, 1984
Mocchetti I, Wrathall JR: Neurotrophic factors in central nervous system trauma. J Neurotrauma 12:853–870, 1995
Geisler FH, Dorsey FC, Coleman WP: Recovery of motor function after spinal-cord injury—a randomized, placebo-controlled trial with GM-1 ganglioside. N Engl J Med 324:1829–1838, 1991
Drummond JC, Moore SS: The influence of dextrose administration on neurologic outcome after temporary spinal cord ischemia in the rabbit. Anesthesiology 70:64–70, 1989
Hickey R, Albin M, Bunegin L, Gelineau J: Autoregulation of spinal cord blood flow: Is the cord a microcosm of the brain? Stroke 17:1183–1189,1986
Crosby ET, Lui A: The adult cervical spine: Implications for airway management. Can J Anaesth 37:77–93, 1990
Friedman D, Flanders A, Thomas C, Millar W: Vertebral artery injury after acute cervical spine trauma: rate of occurrence as detected by MR angiography and assessment of clinical consequences. Amer J Radiol 164:443–447, 1995
Lehmann KG, Shandling AH, Yusi AU, Froelicher VF: Altered ventricular repolarization in central sympathetic dysfunction associated with spinal cord injury. Am J Cardiol 63:1498–1504, 1989
Fishburn MJ, Marino RJ, Ditunno JF Jr: Atelectasis and pneumonia in acute spinal cord injury. Arch Phys Med Rehabil 71:197, 1990
Ledsome JR, Sharp JM: Pulmonary function in acute cervical cord injury. Am Rev Respir Dis 124:41–44, 1981
MacKenzie CF, Shin B, Krishnaprasad D, McCormack F, Illingworth W: Assessment of cardiac and respiratory function during surgery on patients with acute quadriplegia. J Neurosurg 62:843, 1985
Meyer GA, Berman IR, Doty DB, Moseley RV, Guitlerrez VS: Hemodynamic response to acute quadriplegia with or without chest trauma. J Neurosurg 34:168, 1971
Levi L, Wolf A, Belzberg H: Hemodynamic parameters in patients with acute cervical cord trauma: description, intervention, and prediction of outcome. Neurosurgery 33:1007, 1993
Bach-y-Rita P, Illis LS: Spinal shock: possible role of receptor plasticity and nonsynaptic transmission. Paraplegia 31:82, 1993
Ryan M, Klein S, Bongard F: Missed injuries associated with spinal cord trauma. Am Surg 59:371, 1993
Ducker TB, Saul TG: The poly-trauma and spinal cord injury. In: Taylor CH, ed. The Early Management of Acute Spinal Cord Injury. New York: Raven Press, 1982:53–58
Albuquerque F, Wolf A, Dunham M, Wagner R, Spagnolia T, Rigamonti D: Frequency of intra-abdominal injury in cases of blunt trauma to the cervical spinal cord. J Spinal Dis 5:476, 1992
Martyn JAJ, White DA, Gronert GA, et al: Up-and-down regulation of skeletal muscle acetylcholine receptors. Effects on neuromuscular blockers. Anesthesiology 76:822–843, 1992
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Petrozza, P.H. (1997). Anesthetic Considerations for the Patient with Acute Spinal Cord Injury. In: Johnson, J.O., Sperry, R.J., Stanley, T.H. (eds) Neuroanesthesia. Developments in Critical Care Medicine and Anesthesiology, vol 32. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5774-2_14
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DOI: https://doi.org/10.1007/978-94-011-5774-2_14
Publisher Name: Springer, Dordrecht
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