Anästhesiologisches Vorgehen bei Patienten mit spinalem Querschnitt
Publikation: Beitrag in Fachzeitschrift › Forschungsartikel › Beigetragen › Begutachtung
Beitragende
Abstract
Spinal cord injuries (SCI) are serious medical conditions, which are associated with severe and potentially fatal risks and complications depending on the location and extent of injury. Traffic accidents, falls and recreational activities are the leading causes for traumatic SCI (TSCI) worldwide whereas non-traumatic spinal cord injuries (NTSCI) are mostly due to tumors and congenital diseases. As chronification of the injuries progresses other organ systems are affected including anatomical changes, the respiratory and cardiovascular systems and endocrinological pathways. All these effects have to be considered in the anesthesiological management of patients with SCI. Autonomic dysreflexia (AD) is the most dangerous and life-threatening complication in patients with chronic SCI above T6 that results from an overstimulation of sympathetic reflex circuits in the upper thoracic spine and can be fatal. This article summarizes the specific pathophysiology of SCI and how AD can be avoided as well as also providing anesthetists with strategies for perioperative and intensive care management of patients with SCI.
Details
Originalsprache | Deutsch |
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Seiten (von - bis) | 553-70 |
Seitenumfang | 18 |
Fachzeitschrift | Die Anaesthesiologie : Zeitschrift für Anästhesie, Intensivmedizin, Notfall- und Katastrophenmedizin, Schmerztherapie |
Jahrgang | 65 |
Ausgabenummer | 7 |
Publikationsstatus | Veröffentlicht - Juli 2016 |
Peer-Review-Status | Ja |
Externe IDs
Scopus | 84976498843 |
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ORCID | /0000-0002-6741-4983/work/145224638 |
Schlagworte
Ziele für nachhaltige Entwicklung
Schlagwörter
- Anesthesia/methods, Autonomic Dysreflexia/etiology, Autonomic Nervous System/physiopathology, Humans, Spinal Cord Injuries/complications