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Anesthesia for Traumatic Spine Injury

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Textbook of Neuroanesthesia and Neurocritical Care

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Abstract

Traumatic spinal cord injury (SCI) is associated with comprehensive organ disturbances and neurologic dysfunction. Neurocritical care management of traumatic SCI includes addressing the loss of autoregulation and hemodynamic instability, in addition to proper airway management. The level of spinal injury plays a role in SCI, and respiratory perturbations and secondary sequelae can occur, particularly in high spinal cord lesions. Avoiding secondary sequelae is paramount in improving functional outcomes and recovery. This chapter describes critical aspects of airway and respiratory management, the hemodynamic challenges from spinal shock, associated injuries, autonomic dysreflexia, and the nutritional challenges that occur in the acute phase of SCI.

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Conflict of Interest

Authors declare no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Physiology and Pharmacology, Loma Linda University School of Medicine, Loma Linda, CA, USA

    Onat Akyol, Cesar Reis & John Zhang

  2. Department of Anesthesiology, Bag˘cılar Training and Research Hospital, I˙stanbul, Turkey

    Onat Akyol

  3. Department of Preventive Medicine, Loma Linda University Medical Center, Loma Linda, CA, USA

    Cesar Reis

  4. Loma Linda School of Medicine, Loma Linda, CA, USA

    Haley Reis

  5. Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China

    Shen Cheng

  6. Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, CA, USA

    Richard L. Applegate II

Authors
  1. Onat Akyol
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  2. Cesar Reis
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  3. Haley Reis
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  4. John Zhang
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  5. Shen Cheng
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  6. Richard L. Applegate II
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Corresponding author

Correspondence to Richard L. Applegate II .

Editor information

Editors and Affiliations

  1. Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India

    Hemanshu Prabhakar

  2. Division of Neuroanesthesiology, Department of Anesthesiology, Sher-i-Kashmir Institute of Medical Sciences Soura, Srinagar, Jammu and Kashmir, India

    Zulfiqar Ali

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© 2019 Springer Nature Singapore Pte Ltd.

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Akyol, O., Reis, C., Reis, H., Zhang, J., Cheng, S., Applegate, R.L. (2019). Anesthesia for Traumatic Spine Injury. In: Prabhakar, H., Ali, Z. (eds) Textbook of Neuroanesthesia and Neurocritical Care. Springer, Singapore. https://doi.org/10.1007/978-981-13-3387-3_16

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  • DOI: https://doi.org/10.1007/978-981-13-3387-3_16

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-3386-6

  • Online ISBN: 978-981-13-3387-3

  • eBook Packages: MedicineMedicine (R0)

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