Timely intubation with early prediction of respiratory exacerbation in acute traumatic cervical spinal cord injury.

ABSTRACT:

Background

Early routine intubation in motor-complete cervical spinal cord injury (CSCI) above the C5 level is a conventional protocol to prevent unexpected respiratory exacerbation (RE). However, in the context of recent advances in multidisciplinary respiratory management, the absolute indication for intubation in patients with CSCI based on initial neurologic assessment is controversial because of the drawbacks of intubation. This study aimed to redetermine the most important predictor of RE following CSCI after admission without routine intubation among patients admitted with motor-complete injury and/or injury above the C5 level to ensure timely intubation.

Methods

We performed a retrospective review of patients with acute traumatic CSCI admitted to our hospital without

SUBMITTER: Yonemitsu T 

PROVIDER: S-EPMC8590122 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature