Traumatic Spinal Cord Injury: Pulmonary Physiologic Principles and Management

Gregory J. Schilero; William A. Bauman; Miroslav Radulovic

doi:10.1016/j.ccm.2018.02.002

Traumatic Spinal Cord Injury: Pulmonary Physiologic Principles and Management

Gregory J. Schilero, William A. Bauman, Miroslav Radulovic

Research output: Contribution to journal › Review article › peer-review

29 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	411-425
Number of pages	15
Journal	Clinics in Chest Medicine
Volume	39
Issue number	2
DOIs	https://doi.org/10.1016/j.ccm.2018.02.002
State	Published - Jun 2018

Keywords

Airway dynamics
Pulmonary function
Respiratory muscle strength
Respiratory symptoms
Restrictive airway dysfunction
Sleep apnea
Spinal cord injury

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10.1016/j.ccm.2018.02.002

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@article{135a71e339ab478b87bededd8d8dfed9,

title = "Traumatic Spinal Cord Injury: Pulmonary Physiologic Principles and Management",

abstract = "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.",

keywords = "Airway dynamics, Pulmonary function, Respiratory muscle strength, Respiratory symptoms, Restrictive airway dysfunction, Sleep apnea, Spinal cord injury",

author = "Schilero, {Gregory J.} and Bauman, {William A.} and Miroslav Radulovic",

note = "Publisher Copyright: {\textcopyright} 2018",

year = "2018",

month = jun,

doi = "10.1016/j.ccm.2018.02.002",

language = "English",

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TY - JOUR

T1 - Traumatic Spinal Cord Injury

T2 - Pulmonary Physiologic Principles and Management

AU - Schilero, Gregory J.

AU - Bauman, William A.

AU - Radulovic, Miroslav

PY - 2018/6

Y1 - 2018/6

N2 - 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.

AB - 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.

KW - Airway dynamics

KW - Pulmonary function

KW - Respiratory muscle strength

KW - Respiratory symptoms

KW - Restrictive airway dysfunction

KW - Sleep apnea

KW - Spinal cord injury

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U2 - 10.1016/j.ccm.2018.02.002

DO - 10.1016/j.ccm.2018.02.002

M3 - Review article

C2 - 29779599

AN - SCOPUS:85047155890

SN - 0272-5231

VL - 39

SP - 411

EP - 425

JO - Clinics in Chest Medicine

JF - Clinics in Chest Medicine

IS - 2

ER -

Traumatic Spinal Cord Injury: Pulmonary Physiologic Principles and Management

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Keywords

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