Respiratory Management in the Patient with Spinal Cord Injury
Joint Authors
Galeiras Vázquez, Rita
Rascado Sedes, Pedro
Mourelo Fariña, Mónica
Montoto Marqués, Antonio
Ferreiro Velasco, M. Elena
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-09-09
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Spinal cord injuries (SCIs) often lead to impairment of the respiratory system and, consequently, restrictive respiratory changes.
Paresis or paralysis of the respiratory muscles can lead to respiratory insufficiency, which is dependent on the level and completeness of the injury.
Respiratory complications include hypoventilation, a reduction in surfactant production, mucus plugging, atelectasis, and pneumonia.
Vital capacity (VC) is an indicator of overall pulmonary function; patients with severely impaired VC may require assisted ventilation.
It is best to proceed with intubation under controlled circumstances rather than waiting until the condition becomes an emergency.
Mechanical ventilation can adversely affect the structure and function of the diaphragm.
Early tracheostomy following short orotracheal intubation is probably beneficial in selected patients.
Weaning should start as soon as possible, and the best modality is progressive ventilator-free breathing (PVFB).
Appropriate candidates can sometimes be freed from mechanical ventilation by electrical stimulation.
Respiratory muscle training regimens may improve patients’ inspiratory function following a SCI.
American Psychological Association (APA)
Galeiras Vázquez, Rita& Rascado Sedes, Pedro& Mourelo Fariña, Mónica& Montoto Marqués, Antonio& Ferreiro Velasco, M. Elena. 2013. Respiratory Management in the Patient with Spinal Cord Injury. BioMed Research International،Vol. 2013, no. 2013, pp.1-12.
https://search.emarefa.net/detail/BIM-1003595
Modern Language Association (MLA)
Galeiras Vázquez, Rita…[et al.]. Respiratory Management in the Patient with Spinal Cord Injury. BioMed Research International No. 2013 (2013), pp.1-12.
https://search.emarefa.net/detail/BIM-1003595
American Medical Association (AMA)
Galeiras Vázquez, Rita& Rascado Sedes, Pedro& Mourelo Fariña, Mónica& Montoto Marqués, Antonio& Ferreiro Velasco, M. Elena. Respiratory Management in the Patient with Spinal Cord Injury. BioMed Research International. 2013. Vol. 2013, no. 2013, pp.1-12.
https://search.emarefa.net/detail/BIM-1003595
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1003595