Spinal trauma in the ICU presents complex challenges requiring a systematic, multidisciplinary approach. The initial management prioritizes stabilization, airway protection, and the prevention of secondary injuries, particularly spinal cord damage. Adherence to Advanced Trauma Life Support (ATLS) protocols and careful spinal motion restriction (SMR) are essential during the early phase. Timely imaging, including MRI, plays a crucial role in diagnosing spinal cord injuries and guiding surgical decisions. Moreover, hemodynamic and respiratory support, along with vigilant neurological monitoring, are critical for optimizing outcomes. This chapter explores these key components in the management of spinal trauma in the ICU [Ref: Algorithm 53.1].

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Approach to Spinal Trauma in the ICU

  • Shakti Bedanta Mishra,
  • Samir Samal,
  • Sagarika Panda

摘要

Spinal trauma in the ICU presents complex challenges requiring a systematic, multidisciplinary approach. The initial management prioritizes stabilization, airway protection, and the prevention of secondary injuries, particularly spinal cord damage. Adherence to Advanced Trauma Life Support (ATLS) protocols and careful spinal motion restriction (SMR) are essential during the early phase. Timely imaging, including MRI, plays a crucial role in diagnosing spinal cord injuries and guiding surgical decisions. Moreover, hemodynamic and respiratory support, along with vigilant neurological monitoring, are critical for optimizing outcomes. This chapter explores these key components in the management of spinal trauma in the ICU [Ref: Algorithm 53.1].