Nursing Care of Cervical Spine Injury Patients with Spinal Shock from Spinal Cord Injury
Keywords:
cervical spine injury, spinal shock, nursing careAbstract
Cervical spine injury is an emergency condition that requires urgent treatment because patients are at risk of respiratory failure. Spinal shock is the condition in the immediate period following acute spinal cord injury. Spinal shock is defined as a complete loss of motor and sensory functions below the level of injuries, loss of deep tendon reflexes, and absent sphincter tone reflexes, especially the bulbocavernosus reflex. This article will discuss spinal shock, including pathology, signs and symptoms, treatment, nursing care in the acute phase until the rehabilitation phase, and a case study. Spinal shock is a critical condition that requires close monitoring to prevent complications that can occur to the patients; if not properly treated, the patients could experience death or disability.
References
Luksanapruksa P, Chavasiri C.Emergency cervical spine injury management. 21st Anniversary Siriraj Spinal Unit: Effective management in cervical spine injury; 2016 Jun 16-17; Bangkok: Faculty of medicine, Mahidol university; 2016. (in Thai)
Zileli M, Osorio-Fonseca E, Konovalov N, Cardenas-Jalabe C, Kaprovoy S, Mlyavykh S, et al. Early management of cervical spine trauma: WFNS Spine Committee Recommendations. Neurospine [Internet]. 2020 [cited 2021 Jan 27];17(4):710. Avaliable from: https://www.e-neurospine.org/journal/view.php?doi=10.14245/ns.2040282.141
Chavasiri C, Wilartratsami S, Ruangchainikom M, Korwutthikulrangsri E, Luksanapruksa P. Demographic and clinical profiles of traumatic spinal injury patients at the Siriraj Spinal Unit–Southeast Asia’s first dedicated spinal injury center. J Med Assoc Thai [Internet]. 2019 [cited 2021 Jan 27];102(10):79. Avaliable from: http://www.jmatonline. com/index.php/jmat/article/view/10542
Pongakkasira C, Komaratat N. Guidelines for rehabilitation of spinal cord injury people from road accidents. Guidelines for rehabilitation of injured/disabled people from road accidents. Nonthaburi: Sahamitr Printing & Publishing; 2012. (in Thai)
Perrouin-Verbe B, Lefevre C, Kieny P, Gross R, Reiss B, Le Fort M. Spinal cord injury: a multisystem physiological impairment/dysfunction. Rev Neurol (Paris) 2021;177(5):594-605. doi: 10.1016/j.neurol.2021.02.385.
Prasat Neurological Institute. Clinical nursing practice guidelines for surgical spine Bangkok: Tanapress; 2017. (in Thai)
Singhal V, Aggarwal R. Spinal shock. In: Prabhakar H, editor. Complications in neuroanesthesia. [n.p.]: Academic Press; 2016. p. 89-94.
Ditunno JF, Little JW, Tessler A, Burns AS. Spinal shock revisited: a four-phase model. Spinal Cord [Internet]. 2004 [cited 2021 Jan 12];42(7):383-95. Available from: https://www.nature.com/articles/3101603.pdf
Choi SH, Sung C-h, Heo DR, Jeong S-Y, Kang C-N. Incidence of acute spinal cord injury and associated complications of methylprednisolone therapy: a national population-based study in South Korea. Spinal Cord [Internet]. 2020 [cited 2021 Jan 12];58(2):232-7. Available from: https://www.nature.com/articles/s41393-019-0357-2
Cabrera-Aldana EE, Ruelas F, Aranda C, Rincon-Heredia R, Martínez-Cruz A, Reyes-Sánchez A, et al. Methylprednisolone administration following spinal cord injury reduces aquaporin 4 expression and exacerbates edema. Mediat Inflamm [Internet]. 2017 [cited 2021 Jan 12]; 2017. Avaliable from: https://www.hindawi.com/ journals/mi/2017/4792932/
Fehlings MG, Wilson JR, Harrop JS, Kwon BK, Tetreault LA, Arnold PM, et al. Efficacy and safety of methylprednisolone sodium succinate in acute spinal cord injury: a systematic review. Global Spine J [Internet]. 2017 [cited 2021 Jan 12];7 (3 suppl):116S-37S. Avaliable from: https://journals.sagepub.com/doi/10.1177/ 2192568217706366
Prasartritta T, Layanan P, Sripealaim S. Orthopedic nursing. Bangkok: Sahamitr Printing & Publishing; 2012. (in Thai)
Yosakorn A. Dural tear in patients undergoing lumbar spinal surgery: complex health problems for nursing care challenges. Thai Journal of Nursing Midwifery Practice 2019;6(1):100-16. (in Thai)
Dokmai P. Nursing management of skull traction and Halo vest. 21st Anniversary Siriraj Spinal Unit: Effective Management in cervical spine injury; 2016 Jun 16-17; Bangkok: Faculty of Medicine, Mahidol university; 2016. (in Thai)
Pattanakuhar S, Kammuang-lue P, Tongprasert S, Kovindha A, Tantiworawit A. Prevention for venous thromboembolism in spinal cord injury patients. J Thai Rehabil Med [Internet]. 2018 [cited 2020 Dec 3];28(1):24-31. Avaliable from: http://rehabmed. or.th/main/wp-content/uploads/2018/05/L-441.pdf (in Thai)
Sirindharn National Medical Rehabilitation Centre. CNPG spinal cord injury. Nonthaburi: Sahamitr Printing & Publishing; 2012. (in Thai)
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