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2018•Journal of Neurointensive CareOpen access

Neurological Intensive Care for Acute Spinal Cord Injury Patients

Junseok W. Hur, Dong‐Hyuk Park, Jang-Bo Lee, Tai-Hyoung Cho, Jung Yul Park

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Abstract

The spinal cord injury (SCI) patients suffer various medical conditions at early period after injury.Methylprednisolone could be administrated for neurologic recovery but the potential side effects could be carefully considered.Besides limb motor and sensory deficits, SCI could affect various respiratory muscles as diaphragm, chest wall, and abdomen which leads to respiratory failure and mechanical ventilation.Sympathetic nerve denervation could lead hypotension and bradycardia.Volume supplement and cardiovascular constrictor could be considered.Prevention and treatment of pressure sore are essential and active pain control should be started from the intensive care unit.

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The spinal cord injury (SCI) patients suffer various medical conditions at early period after injury.Methylprednisolone could be administrated for neurologic recovery but the potential side effects could be carefully considered.Besides limb motor and sensory deficits, SCI could affect various respiratory muscles as diaphragm, chest wall, and abdomen which leads to respiratory failure and mechanical ventilation.Sympathetic nerve denervation could lead hypotension and bradycardia.Volume supplement and cardiovascular constrictor could be considered.Prevention and treatment of pressure sore are essential and active pain control should be started from the intensive care unit.

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Available abstract

The spinal cord injury (SCI) patients suffer various medical conditions at early period after injury.Methylprednisolone could be administrated for neurologic recovery but the potential side effects could be carefully considered.Besides limb motor and sensory deficits, SCI could affect various respiratory muscles as diaphragm, chest wall, and abdomen which leads to respiratory failure and mechanical ventilation.Sympathetic nerve denervation could lead hypotension and bradycardia.Volume supplement and cardiovascular constrictor could be considered.Prevention and treatment of pressure sore are essential and active pain control should be started from the intensive care unit.

Key concepts: Medicine, Anesthesia, Spinal cord injury, Intensive care unit, Spinal cord, Bradycardia, Methylprednisolone, Intensive care

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