Traumatic Spinal Cord Injury: Pulmonary Physiologic Principles and Management

In the United States, approximately 17,500 cases of traumatic spinal cord injury (SCI) occur each year, with an estimated 245,000 to 345,000 individuals living with chronic SCI. Acute management of respiratory dysfunction has resulted in improvement in early survival, but life expectancy remains les...

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Bibliographic Details
Published inClinics in chest medicine Vol. 39; no. 2; p. 411
Main Authors Schilero, Gregory J, Bauman, William A, Radulovic, Miroslav
Format Journal Article
LanguageEnglish
Published United States 01.06.2018
Subjects
Airway dynamics
Restrictive airway dysfunction
Pulmonary function
Respiratory symptoms
Respiratory muscle strength
Sleep apnea
Spinal cord injury
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ISSN1557-8216
DOI10.1016/j.ccm.2018.02.002

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Summary:In the United States, approximately 17,500 cases of traumatic spinal cord injury (SCI) occur each year, with an estimated 245,000 to 345,000 individuals living with chronic SCI. Acute management of respiratory dysfunction has resulted in improvement in early survival, but life expectancy remains less than that of the general population, and pulmonary complications are a leading cause of mortality. The global changes in pulmonary function, underlying pathophysiology, and the management options to improve respiratory muscle weakness and pulmonary clearance in persons with SCI are discussed. Given its high prevalence among subjects with cervical SCI, sleep disordered breathing is also discussed.
ISSN:1557-8216
DOI:10.1016/j.ccm.2018.02.002