2017
DOI: 10.3171/2017.8.focus17428
|View full text |Cite
|
Sign up to set email alerts
|

The impact of blood pressure management after spinal cord injury: a systematic review of the literature

Abstract: OBJECTIVESpinal cord injury (SCI) results in significant morbidity and mortality. Improving neurological recovery by reducing secondary injury is a major principle in the management of SCI. To minimize secondary injury, blood pressure (BP) augmentation has been advocated. The objective of this study was to review the evidence behind BP management after SCI.METHODSThis systematic review was conducted follow… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1
1

Citation Types

1
65
0
6

Year Published

2018
2018
2021
2021

Publication Types

Select...
5
3
1

Relationship

0
9

Authors

Journals

citations
Cited by 109 publications
(72 citation statements)
references
References 33 publications
1
65
0
6
Order By: Relevance
“…The Congress of Neurological Surgeons (CNS) and the American Association of Neurological Surgeons (AANS) (CNS/AANS) issued updated guidelines in 2013 that recommend maintaining MAP between 85 and 90 mmHg in the first 5−7 days after a traumatic SCI in order to improve cord perfusion [14]. These guidelines were affirmed in a recent meta-analysis by Saadeh et al in 2017 [15]. Although these postinjury MAP goals are widely accepted, there is a paucity of evidence to support this practice [14][15][16].…”
Section: Introductionmentioning
confidence: 99%
“…The Congress of Neurological Surgeons (CNS) and the American Association of Neurological Surgeons (AANS) (CNS/AANS) issued updated guidelines in 2013 that recommend maintaining MAP between 85 and 90 mmHg in the first 5−7 days after a traumatic SCI in order to improve cord perfusion [14]. These guidelines were affirmed in a recent meta-analysis by Saadeh et al in 2017 [15]. Although these postinjury MAP goals are widely accepted, there is a paucity of evidence to support this practice [14][15][16].…”
Section: Introductionmentioning
confidence: 99%
“…48 This is akin to the traumatic spinal cord injury literature, where prospective level II studies have found that a MAP aim of more than 85 to 90 mm Hg for 5 to 7 days post injury being beneficial in maintaining or improving lost neurological function. 50…”
Section: Discussionmentioning
confidence: 99%
“…This includes using IV fluids and vasopressors to improve blood flow to the injured cord. Recent reports have recommended norepinephrine as a first line agent given its lower side effect profile than dopamine [48,49].…”
Section: Blood Pressure Management After Scimentioning
confidence: 99%
“…Although recent studies have confirmed these published guidelines [50,51], others have suggested that such an arbitrarily elevated MAP goal may not be efficacious and that maintenance of the recommended sustained systemic hypertension may be associated with risks to the patient [49,52,53].…”
Section: Blood Pressure Management After Scimentioning
confidence: 99%