Congress of neurological surgeons systematic review and evidence-based guidelines on the evaluation and treatment of patients with thoracolumbar spine trauma: Hemodynamic management

Sanjay S. Dhall, Andrew T. Dailey, Paul A. Anderson, Paul M. Arnold, John H. Chi, Kurt M. Eichholz, James S. Harrop, Daniel J. Hoh, Sheeraz Qureshi, Craig H. Rabb, P. B. Raksin, Michael G. Kaiser, John E. O'Toole

Research output: Contribution to journalReview article

Abstract

QUESTION: Does the active maintenance of arterial blood pressure after injury affect clinical outcomes in patients with thoracic and lumbar fractures? RECOMMENDATIONS: There is insufficient evidence to recommend for or against the use of active maintenance of arterial blood pressure after thoracolumbar spinal cord injury. Grade of Recommendation: Grade Insufficient However, in light of published data from pooled (cervical and thoracolumbar) spinal cord injury patient populations, clinicians may choose to maintain mean arterial blood pressures >85 mm Hg in an attempt to improve neurological outcomes.

Original languageEnglish (US)
Pages (from-to)E43-E45
JournalClinical Neurosurgery
Volume84
Issue number1
DOIs
StatePublished - Jan 1 2019

Keywords

  • Hemodynamic management
  • Mean arterial pressure
  • Thoracolumbar spinal cord injury

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Dhall, S. S., Dailey, A. T., Anderson, P. A., Arnold, P. M., Chi, J. H., Eichholz, K. M., Harrop, J. S., Hoh, D. J., Qureshi, S., Rabb, C. H., Raksin, P. B., Kaiser, M. G., & O'Toole, J. E. (2019). Congress of neurological surgeons systematic review and evidence-based guidelines on the evaluation and treatment of patients with thoracolumbar spine trauma: Hemodynamic management. Clinical Neurosurgery, 84(1), E43-E45. https://doi.org/10.1093/neuros/nyy368