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Intensive Care Management of Traumatic Spine Injury

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Textbook of Neuroanesthesia and Neurocritical Care

Abstract

Acute spinal cord injury (SCI) causes neurological dysfunction and interrupts normal physiological regulatory patterns and requires anesthesia and neurocritical care management. Depending on the level of injury, airway stabilization can prove challenging, and maneuvers for laryngoscopy are more challenging prior to anesthesia induction because of restrictions related to stabilization of the cervical region from a cervical collar A preoperative evaluation of airway anatomy is crucial to determine the appropriate intubation methods. While there is no specific general anesthetic recommendation, attention should be given to maintain adequate spinal cord perfusion and prevent systemic hypotension. In addition, identifying presurgical neurologic dysfunction is important to properly assess for complications or further neuronal damage during the intraoperative period. This chapter identifies the important areas of perioperative management following acute SCI including anesthesia induction, hemodynamic challenges, fluid therapy, and postoperative pain management.

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Declaration 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, Bağcılar Training and Research Hospital, İstanbul, 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

    Vadim Gospodarev & 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

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  1. Onat Akyol
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  2. Cesar Reis
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  7. 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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Akyol, O. et al. (2019). Intensive Care Management of Traumatic Spine Injury. In: Prabhakar, H., Ali, Z. (eds) Textbook of Neuroanesthesia and Neurocritical Care. Springer, Singapore. https://doi.org/10.1007/978-981-13-3390-3_12

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  • DOI: https://doi.org/10.1007/978-981-13-3390-3_12

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-3389-7

  • Online ISBN: 978-981-13-3390-3

  • eBook Packages: MedicineMedicine (R0)

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