Anaesthetic and Intensive Care Management of Traumatic Cervical Spine Injury

Trauma to the cervical spine may have devastating consequences. Timely interventions are essential to prevent avoidable neurological deterioration. In the initial stabilization of patients with acute cervical spine injuries, physiological disturbances, especially those involving cardiac and respirat...

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Main Author: G S Umamaheswara Rao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2008-01-01
Series:Indian Journal of Anaesthesia
Subjects:
Online Access:http://www.ijaweb.org/article.asp?issn=0019-5049;year=2008;volume=52;issue=1;spage=13;epage=13;aulast=Umamaheswara
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author G S Umamaheswara Rao
author_facet G S Umamaheswara Rao
author_sort G S Umamaheswara Rao
collection DOAJ
description Trauma to the cervical spine may have devastating consequences. Timely interventions are essential to prevent avoidable neurological deterioration. In the initial stabilization of patients with acute cervical spine injuries, physiological disturbances, especially those involving cardiac and respiratory function require careful attention. Early surgery, which facilitates rapid mobi-lization of the patient, is fraught with important management considerations in the intraopoerative period and the subsequent critical care. Airway management poses a crucial challenge at this stage. Those patients who survive the injury with quadriplegia or quadriparesis may present themselves for incidental surgical procedures. Chronic systemic manifestations in these patients require attention in providing anaesthesia and postoperative care at this stage. The current review provides an insight into the physiological disturbances and the management issues in both acute and chronic phases of traumatic cervical spine injury.
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spelling doaj.art-566110b88fba4134ac7e7e9ba9a05b0f2022-12-22T02:32:41ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492008-01-015211313Anaesthetic and Intensive Care Management of Traumatic Cervical Spine InjuryG S Umamaheswara RaoTrauma to the cervical spine may have devastating consequences. Timely interventions are essential to prevent avoidable neurological deterioration. In the initial stabilization of patients with acute cervical spine injuries, physiological disturbances, especially those involving cardiac and respiratory function require careful attention. Early surgery, which facilitates rapid mobi-lization of the patient, is fraught with important management considerations in the intraopoerative period and the subsequent critical care. Airway management poses a crucial challenge at this stage. Those patients who survive the injury with quadriplegia or quadriparesis may present themselves for incidental surgical procedures. Chronic systemic manifestations in these patients require attention in providing anaesthesia and postoperative care at this stage. The current review provides an insight into the physiological disturbances and the management issues in both acute and chronic phases of traumatic cervical spine injury.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2008;volume=52;issue=1;spage=13;epage=13;aulast=UmamaheswaraQuadriplegiaTraumaCervical spineAnaesthesiaIntensive care
spellingShingle G S Umamaheswara Rao
Anaesthetic and Intensive Care Management of Traumatic Cervical Spine Injury
Indian Journal of Anaesthesia
Quadriplegia
Trauma
Cervical spine
Anaesthesia
Intensive care
title Anaesthetic and Intensive Care Management of Traumatic Cervical Spine Injury
title_full Anaesthetic and Intensive Care Management of Traumatic Cervical Spine Injury
title_fullStr Anaesthetic and Intensive Care Management of Traumatic Cervical Spine Injury
title_full_unstemmed Anaesthetic and Intensive Care Management of Traumatic Cervical Spine Injury
title_short Anaesthetic and Intensive Care Management of Traumatic Cervical Spine Injury
title_sort anaesthetic and intensive care management of traumatic cervical spine injury
topic Quadriplegia
Trauma
Cervical spine
Anaesthesia
Intensive care
url http://www.ijaweb.org/article.asp?issn=0019-5049;year=2008;volume=52;issue=1;spage=13;epage=13;aulast=Umamaheswara
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