MODERN APPROACHES TO ANESTHETIC MANAGEMENT DURING SURGICAL TREATMENT FOR SPINAL CORD INJURY IN THE LATE PERIOD

Roman Golikov,Dmitry Lukjanov

doi:10.14531/ss2015.3.89-96

Abstract

Spinal cord injury is an actual problem of modern medicine. The late period after injury when a specific complex of structural and functional changes is developing in the victim’s body plays a special role. Deferred emergency surgery is largely due to poor equipment of medical institutions in the provinces, and late detection of spinal fractures in severe polytrauma. The paper considers the relevance of an integrated approach to anesthesia for surgical treatment of patients in the late period of spinal cord injury using agents which inhibit pain impulses at different levels of the nociceptive system and reduce stress-induced response to surgical aggression in the late period of traumatic disease of the spinal cord.

Highlights

Modern approaches to anesthetic management during surgical treatment for spinal cord injury in the late period R.I
Spinal cord injury is an actual problem of modern medicine
The paper considers the relevance of an integrated approach to anesthesia for surgical treatment of patients in the late period of spinal cord injury using agents which inhibit pain impulses at different levels of the nociceptive system and reduce stress-induced response to surgical aggression in the late period of traumatic disease of the spinal cord

Summary

Introduction

Modern approaches to anesthetic management during surgical treatment for spinal cord injury in the late period R.I. Golikov, D.S. Lukyanov Современные подходы к анестезиологическому обеспечению хирургического лечения позвоночно-спинномозговой травмы в позднем периоде // Хирургия позвоночника. Modern approaches to anesthetic management during surgical treatment for spinal cord injury in the late period.

Results

Conclusion