Management of acute cervical spinal cord injury in the non‐specialist intensive care unit: a narrative review of current evidence

WILES, M.D., BENSON, I., EDWARDS, L., MILLER, R., TAIT, F. and WYNN‐HEBDEN, A. (2023). Management of acute cervical spinal cord injury in the non‐specialist intensive care unit: a narrative review of current evidence. Anaesthesia.

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Abstract

Summary: Each year approximately one million people suffer spinal cord injury, which has significant physical, psychosocial and economic impacts on patients and their families. Spinal cord rehabilitation centres are a well‐established part of the care pathway for patients with spinal cord injury and facilitate improvements in functional independence and reductions in healthcare costs. Within the UK, however, there are a limited number of spinal cord injury centres, which delays admission. Patients and their families often perceive that they are not receiving specialist care while being treated in non‐specialist units. This review aimed to provide clinicians who work in non‐specialist spinal injury centres with a summary of contemporary studies relevant to the critical care management of patients with cervical spinal cord injury. We undertook a targeted literature review including guidelines, systematic reviews, meta‐analyses, clinical trials and randomised controlled trials published in English between 1 June 2017 and 1 June 2023. Studies involving key clinical management strategies published before this time, but which have not been updated or repeated, were also included. We then summarised the key management themes: acute critical care management approaches (including ventilation strategies, blood pressure management and tracheostomy insertion); respiratory weaning techniques; management of pain and autonomic dysreflexia; and rehabilitation.

Item Type:	Article
Additional Information:	** Article version: VoR ** From Wiley via Jisc Publications Router ** Licence for VoR version of this article: http://creativecommons.org/licenses/by-nc-nd/4.0/ **Journal IDs: issn 0003-2409; issn 1365-2044 **Article IDs: publisher-id: anae16198; society-id: anae.2023.00832 **History: published_online 13-12-2023; accepted 23-11-2023
Uncontrolled Keywords:	rehabilitation medicine, intensive care medicine, neurological injury, clinical management, spinal cord injury
Identification Number:	https://doi.org/10.1111/anae.16198
SWORD Depositor:	Colin Knott
Depositing User:	Colin Knott
Date Deposited:	19 Dec 2023 11:43
Last Modified:	19 Dec 2023 11:45
URI:	https://shura.shu.ac.uk/id/eprint/32880

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