Anesthesia for cervical spinal cord injury

Apolonia E. Abramowicz, Maria Bustillo

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Anesthesiologists are involved in the care of acute cervical spinal cord injury (SCI) patients related to blunt and penetrating trauma, as well as perioperative injuries resulting from spine surgery and/or preexisting spondylosis. Knowledge of the ASIA injury scale classification and epidemiology of associated injuries helps the anesthesiologist to prioritize management of these complex patients according to the most recent guidelines. Steroids should no longer be used as neuroprotective agents. Early surgical decompression and spinal stabilization is gaining favor. Manual in-line stabilization remains recommended while cricoid pressure during intubation is not. Videolaryngoscopes are increasingly utilized, but fiberoptic intubation remains the gold standard when applicable. Neurogenic shock requires attentive hemodynamic and bradyarrhythmia management. Central neuropathic pain is a common and difficult to manage entity in SCI.

Original languageEnglish (US)
Title of host publicationAnesthesia for Trauma: New Evidence and New Challenges
PublisherSpringer New York
Pages167-192
Number of pages26
ISBN (Print)9781493909094, 1493909088, 9781493909087
DOIs
StatePublished - Mar 1 2014

Fingerprint

Spinal Cord Injuries
Anesthesia
Wounds and Injuries
Intubation
Spondylosis
Surgical Decompression
Neuralgia
Neuroprotective Agents
Bradycardia
Shock
Epidemiology
Spine
Hemodynamics
Steroids
Guidelines
Pressure
Cervical Cord
Anesthesiologists

Keywords

  • airway instrumentation
  • anesthetic management
  • cervical spinal cord injury
  • complications of cervical spine surgery
  • respiratory and hemodynamic management

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Abramowicz, A. E., & Bustillo, M. (2014). Anesthesia for cervical spinal cord injury. In Anesthesia for Trauma: New Evidence and New Challenges (pp. 167-192). Springer New York. https://doi.org/10.1007/978-1-4939-0909-4_9

Anesthesia for cervical spinal cord injury. / Abramowicz, Apolonia E.; Bustillo, Maria.

Anesthesia for Trauma: New Evidence and New Challenges. Springer New York, 2014. p. 167-192.

Research output: Chapter in Book/Report/Conference proceedingChapter

Abramowicz, AE & Bustillo, M 2014, Anesthesia for cervical spinal cord injury. in Anesthesia for Trauma: New Evidence and New Challenges. Springer New York, pp. 167-192. https://doi.org/10.1007/978-1-4939-0909-4_9
Abramowicz AE, Bustillo M. Anesthesia for cervical spinal cord injury. In Anesthesia for Trauma: New Evidence and New Challenges. Springer New York. 2014. p. 167-192 https://doi.org/10.1007/978-1-4939-0909-4_9
Abramowicz, Apolonia E. ; Bustillo, Maria. / Anesthesia for cervical spinal cord injury. Anesthesia for Trauma: New Evidence and New Challenges. Springer New York, 2014. pp. 167-192
@inbook{c4596cb628184edaaaf5eb6d197dc6b0,
title = "Anesthesia for cervical spinal cord injury",
abstract = "Anesthesiologists are involved in the care of acute cervical spinal cord injury (SCI) patients related to blunt and penetrating trauma, as well as perioperative injuries resulting from spine surgery and/or preexisting spondylosis. Knowledge of the ASIA injury scale classification and epidemiology of associated injuries helps the anesthesiologist to prioritize management of these complex patients according to the most recent guidelines. Steroids should no longer be used as neuroprotective agents. Early surgical decompression and spinal stabilization is gaining favor. Manual in-line stabilization remains recommended while cricoid pressure during intubation is not. Videolaryngoscopes are increasingly utilized, but fiberoptic intubation remains the gold standard when applicable. Neurogenic shock requires attentive hemodynamic and bradyarrhythmia management. Central neuropathic pain is a common and difficult to manage entity in SCI.",
keywords = "airway instrumentation, anesthetic management, cervical spinal cord injury, complications of cervical spine surgery, respiratory and hemodynamic management",
author = "Abramowicz, {Apolonia E.} and Maria Bustillo",
year = "2014",
month = "3",
day = "1",
doi = "10.1007/978-1-4939-0909-4_9",
language = "English (US)",
isbn = "9781493909094",
pages = "167--192",
booktitle = "Anesthesia for Trauma: New Evidence and New Challenges",
publisher = "Springer New York",

}

TY - CHAP

T1 - Anesthesia for cervical spinal cord injury

AU - Abramowicz, Apolonia E.

AU - Bustillo, Maria

PY - 2014/3/1

Y1 - 2014/3/1

N2 - Anesthesiologists are involved in the care of acute cervical spinal cord injury (SCI) patients related to blunt and penetrating trauma, as well as perioperative injuries resulting from spine surgery and/or preexisting spondylosis. Knowledge of the ASIA injury scale classification and epidemiology of associated injuries helps the anesthesiologist to prioritize management of these complex patients according to the most recent guidelines. Steroids should no longer be used as neuroprotective agents. Early surgical decompression and spinal stabilization is gaining favor. Manual in-line stabilization remains recommended while cricoid pressure during intubation is not. Videolaryngoscopes are increasingly utilized, but fiberoptic intubation remains the gold standard when applicable. Neurogenic shock requires attentive hemodynamic and bradyarrhythmia management. Central neuropathic pain is a common and difficult to manage entity in SCI.

AB - Anesthesiologists are involved in the care of acute cervical spinal cord injury (SCI) patients related to blunt and penetrating trauma, as well as perioperative injuries resulting from spine surgery and/or preexisting spondylosis. Knowledge of the ASIA injury scale classification and epidemiology of associated injuries helps the anesthesiologist to prioritize management of these complex patients according to the most recent guidelines. Steroids should no longer be used as neuroprotective agents. Early surgical decompression and spinal stabilization is gaining favor. Manual in-line stabilization remains recommended while cricoid pressure during intubation is not. Videolaryngoscopes are increasingly utilized, but fiberoptic intubation remains the gold standard when applicable. Neurogenic shock requires attentive hemodynamic and bradyarrhythmia management. Central neuropathic pain is a common and difficult to manage entity in SCI.

KW - airway instrumentation

KW - anesthetic management

KW - cervical spinal cord injury

KW - complications of cervical spine surgery

KW - respiratory and hemodynamic management

UR - http://www.scopus.com/inward/record.url?scp=84929893156&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84929893156&partnerID=8YFLogxK

U2 - 10.1007/978-1-4939-0909-4_9

DO - 10.1007/978-1-4939-0909-4_9

M3 - Chapter

AN - SCOPUS:84929893156

SN - 9781493909094

SN - 1493909088

SN - 9781493909087

SP - 167

EP - 192

BT - Anesthesia for Trauma: New Evidence and New Challenges

PB - Springer New York

ER -