Respiratory complications increase LOS, costs in cervical spinal injury

2002 ◽  
Vol 367 (1) ◽  
pp. 6-6
Keyword(s):  
Spinal Injury ◽  
Respiratory Complications ◽  
Cervical Spinal Injury

Diaphragmatic pacemaker as an alternative to mechanical ventilation in patients with cervical spinal injury

2011 ◽  
Vol 35 (1) ◽  
pp. 13-21
Author(s):  
F.J. Romero-Ganuza ◽  
C. Gambarrutta-Malfatti ◽  
E. Diez de la Lastra-Buigues ◽  
M.Á. Marín-Ruiz ◽  
V.E. Merlo-González ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Spinal Injury ◽  
Cervical Spinal Injury

scholarly journals Impact of cervical spinal cord contusion on the breathing pattern across the sleep-wake cycle in the rat

2019 ◽  
Vol 126 (1) ◽  
pp. 111-123 ◽  
Author(s):  
Kun-Ze Lee
Keyword(s):  
Spinal Cord ◽  
Tidal Volume ◽  
Spinal Injury ◽  
Cervical Spinal Cord ◽  
Minute Ventilation ◽  
Respiratory Frequency ◽  
Breathing Patterns ◽  
Cord Injury ◽  
Spinal Contusion ◽  
Cervical Spinal Injury

The present study was designed to investigate breathing patterns across the sleep-wake state following a high cervical spinal injury in rats. The breathing patterns (e.g., respiratory frequency, tidal volume, and minute ventilation), neck electromyogram, and electroencephalography of unanesthetized adult male rats were measured at the acute (i.e., 1 day), subchronic (i.e., 2 wk), and/or chronic (i.e., 6 wk) injured stages after unilateral contusion of the second cervical spinal cord. Cervical spinal cord injury caused a long-term reduction in the tidal volume but did not influence the sleep-wake cycle duration. The minute ventilation during sleep was usually lower than that during the wake period in uninjured animals due to a decrease in respiratory frequency. However, this sleep-induced reduction in respiratory frequency was not observed in contused animals at the acute injured stage. By contrast, the tidal volume was significantly lower during sleep in contused animals but not uninjured animals from the acute to the chronic injured stage. Moreover, the frequency of sigh and postsigh apnea was elevated in acutely contused animals. These results indicated that high cervical spinal contusion is associated with exacerbated sleep-induced attenuation of the tidal volume and higher occurrence of sleep apnea, which may be detrimental to respiratory functional recovery after cervical spinal cord injury. NEW & NOTEWORTHY Cervical spinal injury is usually associated with sleep-disordered breathing. The present study investigated breathing patterns across sleep-wake state following cervical spinal injury in the rat. Unilateral cervical spinal contusion significantly impacted sleep-induced alteration of breathing patterns, showing a blunted frequency response and exacerbated attenuated tidal volume and occurrence of sleep apnea. The result enables us to investigate effects of cervical spinal injury on the pathogenesis of sleep-disordered breathing and evaluate potential therapies to improve respiration.

Airway Management in Adults after Cervical Spine Trauma

2006 ◽  
Vol 104 (6) ◽  
pp. 1293-1318 ◽  
Author(s):  
Edward T. Crosby ◽  
David C. Warltier
Keyword(s):  
Airway Management ◽  
Spinal Injury ◽  
Standard Of Care ◽  
Outcome Data ◽  
Neurologic Injury ◽  
Spinal Movement ◽  
Imaging Strategy ◽  
Ray Series ◽  
Primary Injury ◽  
Cervical Spinal Injury

Cervical spinal injury occurs in 2% of victims of blunt trauma; the incidence is increased if the Glasgow Coma Scale score is less than 8 or if there is a focal neurologic deficit. Immobilization of the spine after trauma is advocated as a standard of care. A three-view x-ray series supplemented with computed tomography imaging is an effective imaging strategy to rule out cervical spinal injury. Secondary neurologic injury occurs in 2-10% of patients after cervical spinal injury; it seems to be an inevitable consequence of the primary injury in a subpopulation of patients. All airway interventions cause spinal movement; immobilization may have a modest effect in limiting spinal movement during airway maneuvers. Many anesthesiologists state a preference for the fiberoptic bronchoscope to facilitate airway management, although there is considerable, favorable experience with the direct laryngoscope in cervical spinal injury patients. There are no outcome data that would support a recommendation for a particular practice option for airway management; a number of options seem appropriate and acceptable.

scholarly journals Anterior Cervical Decompression, Fusion, and Stabilization by Cervical Plate and Screw for Traumatic Lower Cervical Spinal Injury: A Series of 62 Patients

2016 ◽  
Vol 6 (1_suppl) ◽  
pp. s-0036-1582996-s-0036-1582996
Author(s):  
Sharif Ahmed Jonayed ◽  
Shah Alam ◽  
Rezaul Karim ◽  
Shubhendu Chakraborty ◽  
Tashfique Alam
Keyword(s):  
Spinal Injury ◽  
Anterior Cervical Decompression ◽  
Cervical Plate ◽  
Cervical Spinal Injury

scholarly journals Catastrophic cervical spinal injury in an amateur college wrestler

2017 ◽  
pp. bcr-2017-220260 ◽  
Author(s):  
Jayakrishnan Kelamangalathu Narayana Kurup ◽  
Ravitheja Jampani ◽  
Simanchal P Mohanty
Keyword(s):  
Spinal Injury ◽  
Cervical Spinal Injury

Corticospinal Tract Plasticity and Astroglial Reactivity after Cervical Spinal Injury in the Postnatal Rat

1993 ◽  
Vol 120 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Susanne S. Firkins ◽  
Carolyn A. Bates ◽  
Dennis J. Stelzner
Keyword(s):  
Corticospinal Tract ◽  
Spinal Injury ◽  
Cervical Spinal Injury

Assessment of Knowledge, Attitude and Practice towards Cervical-Spinal Injury among Adults in Dammam City, 2017

2018 ◽  
Vol 70 (6) ◽  
pp. 918-923
Author(s):  
Ahmed Mohammed Al-Othman ◽  
Faisal Hammad Alatawi ◽  
Omar Mohammed Alshaikhi
Keyword(s):  
Spinal Injury ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice ◽  
Cervical Spinal Injury
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