Anesthesia for Traumatic Spine Injury

  • Onat Akyol
  • Cesar Reis
  • Haley Reis
  • John Zhang
  • Shen Cheng
  • Richard L. ApplegateIIEmail author


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.


Trauma Neurotrauma Spinal cord injury Neurocritical care Airway management Autoregulation Hemodynamic instability Autonomic dysreflexia Mechanical ventilation Nutrition Neuroprotection 


Conflict of Interest

Authors declare no conflict of interest.


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Onat Akyol
    • 1
    • 2
  • Cesar Reis
    • 1
    • 3
  • Haley Reis
    • 4
  • John Zhang
    • 1
  • Shen Cheng
    • 5
  • Richard L. ApplegateII
    • 6
    Email author
  1. 1.Department of Physiology and PharmacologyLoma Linda University School of MedicineLoma LindaUSA
  2. 2.Department of AnesthesiologyBag˘cılar Training and Research HospitalI˙stanbulTurkey
  3. 3.Department of Preventive MedicineLoma Linda University Medical CenterLoma LindaUSA
  4. 4.Loma Linda School of MedicineLoma LindaUSA
  5. 5.Department of Neurosurgery, Second Affiliated Hospital, School of MedicineZhejiang UniversityHangzhouChina
  6. 6.Anesthesiology and Pain MedicineUniversity of California Davis HealthSacramentoUSA

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