TY  - JOUR
PY  - 2016//
TI  - Spinal cord injury: is monitoring from the injury site the future?
JO  - Critical care : the Official Journal of the Critical Care Forum
A1  - Saadoun, Samira
A1  - Papadopoulos, Marios C.
SP  - e308
EP  - e308
VL  - 20
IS  - 1
N2  - This paper challenges the current management of acute traumatic spinal cord injury based on our experience with monitoring from the injury site in the neurointensive care unit. We argue that the concept of bony decompression is inadequate. The concept of optimum spinal cord perfusion pressure, which differs between patients, is introduced. Such variability suggests individualized patient treatment. Failing to optimize spinal cord perfusion limits the entry of systemically administered drugs into the injured cord. We conclude that monitoring from the injury site helps optimize management and should be subjected to a trial to determine whether it improves outcome.<p />  <p>Language: en</p>
LA  - en
SN  - 1364-8535
UR  - http://dx.doi.org/10.1186/s13054-016-1490-3
ID  - ref1
ER  -