학술논문
Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients With Thoracolumbar Spine Trauma: Hemodynamic Management
THORACOLUMBAR TRAUMA GUIDELINES
THORACOLUMBAR TRAUMA GUIDELINES
Document Type
Report
Author
Source
Neurosurgery. January 2019, Vol. 84 Issue 1, pE43, 3 p.
Subject
Language
English
ISSN
0148-396X
Abstract
Goals and Rationale Thoracolumbar spinal cord injuries (TLSCIs) have historically had a relatively lower incidence and thus have been studied less often than other spinal cord injuries (SCIs). Much of [...]
QUESTION: Does the active maintenance of arterial blood pressure after injury affect clinical outcomes in patients with thoracic and lumbar fractures? RECOMMENDATIONS: There is insufficient evidence to recommend for or against the use of active maintenance of arterial blood pressure after thoracolumbar spinal cord injury. Grade of Recommendation: Grade Insufficient However, in light of published data from pooled (cervical and thoracolumbar) spinal cord injury patient populations, clinicians may choose to maintain mean arterial blood pressures >85 mm Hg in an attempt to improve neurological outcomes. Consensus Statement by the Workgroup The full version of the guideline can be reviewed at: https://www.cns.org/guidelinechapters/congress-neurological- surgeons-systematic-review-evidence-based-guidelines/ chapter_6. KEY WORDS; Hemodynamic management, Mean arterial pressure, Thoracolumbar spinal cord injury
QUESTION: Does the active maintenance of arterial blood pressure after injury affect clinical outcomes in patients with thoracic and lumbar fractures? RECOMMENDATIONS: There is insufficient evidence to recommend for or against the use of active maintenance of arterial blood pressure after thoracolumbar spinal cord injury. Grade of Recommendation: Grade Insufficient However, in light of published data from pooled (cervical and thoracolumbar) spinal cord injury patient populations, clinicians may choose to maintain mean arterial blood pressures >85 mm Hg in an attempt to improve neurological outcomes. Consensus Statement by the Workgroup The full version of the guideline can be reviewed at: https://www.cns.org/guidelinechapters/congress-neurological- surgeons-systematic-review-evidence-based-guidelines/ chapter_6. KEY WORDS; Hemodynamic management, Mean arterial pressure, Thoracolumbar spinal cord injury