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Research Article| Volume 2, ISSUE 4, P747-758, October 1986

Management of Spinal Cord Injury in the Critical Care Setting

  • John P. McVicar
    Affiliations
    Fellow in Critical Care Medicine, University of California, San Francisco, School of Medicine, San Fransicco, California
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  • John M. Luce
    Correspondence
    Corresponding author: Chest Service Room 5K1, San Francisco General Hospital, San Francisco, CA 94110
    Affiliations
    Assistant Professor of Medicine and Anesthesia, University of California, San Francisco, School of Medicine, San Francisco, California

    Associate Director, Medicat-Surgical Intensive Care Unit, San Francisco General Hospital, San Francisco, California
    Search for articles by this author
DOI:https://doi.org/10.1016/S0749-0704(18)30577-3
Management of Spinal Cord Injury in the Critical Care Setting
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      Approximately 12,000 Americans suffer traumatic spinal cord injuries each year. This article discusses the management of their neurologic, respiratory, cardiovascular, gas- troenterologic, and genitourinary complications in the critical care setting.
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      References

        • Albin M.S.
        Acute spinal cord trauma.
        in: Shoemaker W.C. Thompson W.L. Holbrook P.R. Textbook of Critical Care. W.B. Saunders Co., Philadelphia1984: 928-936
        • Albin M.S.
        • Bunegin L.
        • Helsel P.
        • et al.
        Intracranial pressure and cardiovascular responses to experimental cord transection.
        Crit. Care Med. 1979; 7: 127
        • Albin M.S.
        • Bunegin L.
        • Wolf J.
        • et al.
        Phentolamine does not alternate the intracranial pressure (ICP) after experimental cord transection.
        Fed. Proc. 1980; 39: 959
        • Albin M.S.
        • White R.J.
        • Acosta-Rua G.
        • et al.
        Study of functional recovery produced by delayed localized cooling after spinal cord injury in primates.
        J. Neurosurg. 1968; 29: 113
        • Albin M.S.
        • White R.J.
        • Yashon D.
        • et al.
        Effects of localized cooling on spinal cord trauma.
        J. Trauma. 1969; 9: 1000
        • Alexander S.
        • Kerr F.W.L.
        Blood pressure responses in acute compression of the spinal cord.
        J. Neurosurg. 1964; 21: 485
        • Babcock J.L.
        Cervical spine injuries. Diagnosis and classification.
        Arch. Surg. 1976; 111: 646
        • Bellamy R.
        • Pitts F.W.
        • Stauffer E.S.
        Respiratory complications in traumatic quadriplegia.
        J. Neurosurg. 1973; 39: 596
        • Bergofsky E.H.
        Mechanism for respiratory insufficiency after cervical cord injury: A source of alveolar hypoventilation.
        Ann. Intern. Med. 1964; 61: 435
        • Berlly M.H.
        • Wilmont C.B.
        Acute abdominal emergencies during the first four weeks after spinal cord injury.
        Arch. Phys. Med. Rehabil. 1984; 65: 687
        • Bingham W.G.
        • Ruffolo R.
        • Friedman S.J.
        Catecholamine levels in the injured spinal cord of monkeys.
        J. Neurosurg. 1975; 42: 174
        • Bosch A.
        • Stauffer E.S.
        • Nickel V.L.
        Incomplete traumatic quadriplegia: A ten year review.
        J.A.M.A. 1971; 216: 473
        • Bracken M.B.
        • Shepard M.J.
        • Hellenbrand K.G.
        • et al.
        Methvlprednisolone and neurologic function 1 year after spinal cord injury.
        J. Neurosurg. 1985; 63: 704
        • Burr R.G.
        Urinary calcium, magnesium crystals, and stones in paraplegia.
        Paraplegia. 1972; 10: 56
        • Chilton J.
        • Dagi T.F.
        Acute cervical spinal cord injury.
        Am. J. Emerg. Med. 1985; 3: 340
        • Colice G.L.
        Neurogenic pulmonary edema.
        Clin. Chest Med. 1985; 6: 473
        • Danon J.
        • Druz W.S.
        • Goldberg N.B.
        Function of the isolated paced diaphragm and the cervical accessory muscles in CI quadriplegics.
        Am. Rev. Respir. Dis. 1979; 119: 909
        • Davis J.N.
        • Goldman M.
        • Loh L.
        • et al.
        Diaphragm function and alveolar hypoventilation.
        Q. J. Med. 1976; 177: 87
        • De La Torre J.C.
        Spinal cord injury: Review of basic and applied research.
        Spine. 1981; 6: 315
        • De La Torre J.C.
        • Johnson C.M.
        • Goode D.J.
        • et al.
        Pharmacologic treatment and evaluation of permanent experimental spinal cord trauma.
        Neurology. 1975; 25: 508
        • DeTroyer A.
        • Ileilporn A.
        Respiratory mechanics in quadriplegia. The respiratory function of the intercostal muscles.
        Am. Rev. Respir. Dis. 1980; 122: 591
        • DeTroyer A.
        • Estenne M.
        • Heilporn A.
        Mechanism of active expiration in tetraplegic subjects.
        N. Engl. J. Med. 1986; 314: 740
        • Eidelberg E.E.
        Cardiovascular response to experimental spinal cord compression.
        J. Neurosurg. 1973; 38: 326
        • Erickson R.P.
        • Merritt J.L.
        • Opitz J.I.
        • et al.
        Baeteriuria during follow up in patients with spinal cord injury: 1. Rate of baeteriuria in various bladder emptying methods.
        Arch. Phys. Med. Rehabil. 1982; 63: 409
        • Fader A.L.
        • Jacobs T.P.
        • Moughey M.S.
        • et al.
        Endorphins in experimental spinal injury: Therapeutic effect of naloxone.
        Ann. Neurol. 1981; 10: 326
        • Fairholm D.J.
        • Turnbull I.M.
        Microangiographic study of experimental spinal cord injuries.
        J. Neurosurg. 1971; 35: 277
        • Feuer H.
        Management of acute spine and spinal cord injuries.
        Arch. Surg. 1976; 111: 638
        • Forner J.V.
        • Llombart R.L.
        • Valdizan-Valledor M.C.
        The fiow volume loop in tetraplegies.
        Paraplegia. 1978; 15: 245
        • Freeman L.W.
        • Wright T.W.
        Experimental observations of concussion and contusion of the spinal cord.
        Ann. Surg. 1953; 137: 433
        • Gamache F.W.
        • Myers R.A.
        • Ducker T.B.
        • et al.
        The clinical application of hyperbaric oxygen therapy in spinal cord injury: A preliminary report.
        Surg. Neurol. 1981; 15: 85
        • Glenn W.W.L.
        • Hogan J.F.
        • Loke J.S.O.
        • et al.
        Ventilatory support by pacing of the conditioned diaphragm in quadriplegia.
        N. Engl. J. Med. 1984; 310: 1150
        • Green B.A.
        • Green K.L.
        • Klose K.J.
        Kinetic therapy for spinal cord injury.
        Spine. 1983; 8: 722
        • Griffith D.P.
        • Moskowitz P.A.
        • Carlton Jr., C.E.
        Adjunctive therapy of infectioninduced staghorn calculi.
        J. Urol. 1979; 121: 711
        • Griffiths I.R.
        Vasogenic edema following acute and chronic spinal cord compression in the dog.
        J. Neurosurg. 1975; 42: 155
        • Gronert G.A.
        • Theye R.A.
        Pathophysiology of hyperkalemia induced by succinvlcholine.
        Anesthesiology. 1975; 43: 89
        • Gross D.
        • Ladd H.W.
        • Riley E.J.
        • et al.
        The effect of training on the strength and endurance of the diaphragm in quadriplegia.
        N. Engl. J. Med. 1972; 286: 513
        • Hansebout R.R.
        • Tanner J.A.
        • Romero-Sierra C.
        Current status of spinal cord cooling in the treatment of acute spinal cord injury.
        Spine. 1984; 9: 508
        • Hayashi N.
        • De La Torre J.C.
        • Green B.A.
        Regional spinal cord blood flow and tissue oxygen content after spinal cord trauma.
        Surg. Forum. 1980; 31: 461
        • Heros R.C.
        Spinal cord eornpresssion.
        in: Ropper A.H. Kennedy S.K. Zervas N.T. Neurological and Neurosurgical Intensive Care. University Park Press, Baltimore1982: 231-248
        • Kelly D.L.
        • Lassiter K.R.L.
        • Calogero J.A.
        Effects of local hypothermia and tissue oxygen studies in experimental paraplegia.
        J. Neurosurg. 1970; 33: 554
        • Ledsome J.R.
        • Sharp J.M.
        Pulmonary function in acute cervical cord injury.
        Am. Rev. Respir. Dis. 1981; 124: 41
        • Luce J.M.
        Medical management of spinal cord injury.
        Crit. Care Med. 1985; 13: 126
        • Luce J.M.
        • Culver B.H.
        Respiratory muscle function in health and disease.
        Chest. 1982; 81: 82
        • Mace S.
        Emergency evaluation of cervical spine injuries: CT versus plain radiographs.
        Ann. Emerg. Med. 1985; 14: 973
        • Mackenzie C.F.
        • Shin B.
        • Krishnaprasad D.
        • et al.
        Assessment of cardiac and respiratory function during surgery on patients with acute quadriplegia.
        J. Neurosurg. 1985; 62: 843
        • McKinley A.C.
        • Auchincloss J.H.
        • Gilbert R.
        • et al.
        Pulmonary function, ventilatory control, and respiratory complications in quadriplegic subjects.
        Am. Rev. Respir. Dis. 1969; 100: 526
        • Meyer G.A.
        • Berman I.R.
        • Doty D.B.
        • et al.
        Hemodynamic responses to acute quadriplegia with or without chest trauma.
        J. Neurosurg. 1971; 34: 168
        • Minaire P.
        • Demolin P.
        • Bourret J.
        • et al.
        Life expectancy following spinal cord injury: A ten year survey in the Rhone-Alps region, France, 1969–1980.
        Paraplegia. 1983; 21: 11
        • Myllynen P.
        • Kammonen M.
        • Rokkanen P.
        • et al.
        Deep venous thrombosis and pulmonary embolism in patients with acute spinal cord injury: A comparison with non-paralyzed patients immobilized due to spinal fractures.
        J. Trauma. 1985; 25: 541
        • Natchi N.E.
        Functional restoration of the traumatically injured spinal cord in cats by clonidine.
        Science. 1982; 217: 1042
        • Nikakhtar B.
        • Vaziri N.D.
        • Khonsari F.
        • et al.
        Urolithiasis in patients with spinal cord injury.
        Paraplegia. 1982; 20: 48
        • Osterholm J.L.
        • Mathews G.J.
        Altered norepinephrine metabolism following experimental spinal cord injury.
        J. Neurosurg. 1972; 36: 386
        • Osterholm J.L.
        • Mathews G.J.
        Altered norepinephrine metabolism following experimental spinal cord injury. Part 2: Protection against traumatic spinal cord hemorrhagic necrosis by norepinephrine synthesis blockade with alpha methyl tyrosine.
        J. Neurosurg. 1972; 36: 395
        • Perot P.L.
        The clinical use of somatosensory evoked potentials in acute spinal cord injury.
        Clin. Neurosurg. 1973; 20: 367
        • Poe R.H.
        • Reisman J.L.
        • Rodenhouse T.G.
        Pulmonary edema in cervical spinal cord injury.
        J. Trauma. 1978; 18: 71
        • Roizen M.F.
        Preoperative evaluation of patients with diseases that require special preoperative evaluation and intraoperative management.
        in: Miller R.D. Anesthesia. Churchill-Livingstone, New York1981
        • Sell G.H.
        • Naftchi N.E.
        • Lowman E.W.
        • et al.
        Autonomic hyperreflexia and catecholamine metabolites in spinal cord injury.
        Arch. Physiol. Med. 1972; 53: 415
        • Shea J.D.
        • Giofifre R.
        • Carrion H.
        • et al.
        Autonomic hyperreflexia in spinal cord injury.
        South Med. J. 1973; 66: 869
        • Silver J.R.
        • Moulton A.
        Prophylactic anticoagulant therapy against pulmonary emboli in acute paraplegia.
        Br. Med. J. 1973; 2: 338
        • Theodore J.
        • Robin E.D.
        Speculations on neurogenic pulmonary edema (NPE).
        Am. Rev. Respir. Dis. 1976; 113: 405
        • Tibbs P.A.
        • Young B.
        • McAllister R.G.
        • et al.
        Studies of experimental cervical spine transection. Part 1: Hemodynamic changes after acute cervical spinal cord transection.
        J. Neurosurg. 1978; 49: 558
        • Zivin J.A.
        • Doppman J.L.
        • Reid J.L.
        • et al.
        Biochemical and histochemical studies of biogenic amines in spinal cord trauma.
        Neurology. 1976; 26: 99

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      DOI: https://doi.org/10.1016/S0749-0704(18)30577-3

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      © 1986 Elsevier Inc. Published by Elsevier Inc. All rights reserved.

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