Asian Spine J.
2023 Aug;17(4):615-619. 10.31616/asj.2023.0094.
Ventilatory Strategies in Traumatic Cervical Spinal Cord Injury: Controversies and Current Updates
- Affiliations
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- 1Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences (AIIMS), Nagpur, India
- 2Department of Anaesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences (AIIMS), Guwahati, India
- 3Department of Anaesthesiology and Critical Care, School of Medical Sciences and Research, Sharda University, Greater Noida, India
- KMID: 2545378
- DOI: http://doi.org/10.31616/asj.2023.0094
Abstract
- Ventilatory management of patients with traumatic cervical spinal cord injury (CSCI) is a complex and controversial area of critical care medicine. Despite significant advances in our understanding of the pathophysiology of CSCI and the development of novel interventions, there remains a lack of consensus about the optimal approach to ventilatory management in these patients. Some of the key controversies in CSCI ventilatory management include timing of tracheal intubation, non-invasive ventilation versus invasive ventilation, high versus low tidal volume, and early versus late tracheostomy. The objective of this review is to discuss the existing controversies and provide an insight on the current evidence.
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