Effectiveness of respiratory management for mechanical ventilator weaning in traumatic spinal cord injury patients with prolonged ventilation
Background. Traumatic spinal cord injury is a medical condition which often results in disability and mortality. The most common lesion was cervical level, which is around 60-75% of all cases, where at this level there is a risk of respiratory problems which often require mechanical ventilation. Cas...
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Amaltea Medical Publishing House
2024-06-01
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| Series: | Romanian Journal of Neurology |
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| Online Access: | https://rjn.com.ro/articles/2024.2/RJN_2024_2_Art-17.pdf |
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| author | Pukovisa Prawiroharjo Julia Remi Chandra Diatri Nari Lastri Ramdinal Aviesena Zairinal Adre Mayza Yetty Ramli Maula N. Gaharu Riyadh Firdaus Peggy Yoshua Viventius |
| author_facet | Pukovisa Prawiroharjo Julia Remi Chandra Diatri Nari Lastri Ramdinal Aviesena Zairinal Adre Mayza Yetty Ramli Maula N. Gaharu Riyadh Firdaus Peggy Yoshua Viventius |
| author_sort | Pukovisa Prawiroharjo |
| collection | DOAJ |
| description | Background. Traumatic spinal cord injury is a medical condition which often results in disability and mortality. The most common lesion was cervical level, which is around 60-75% of all cases, where at this level there is a risk of respiratory problems which often require mechanical ventilation. Case report. In the case discussed, a 28-years-old male was referred from other hospital with traumatic cervical spinal cord injury (C5-C6) ASIA score A with a history of falling from a height of 3 meters. The patient underwent decompressive laminectomy on the tenth day of onset, followed by mechanical ventilation. During treatment, the patient received pharmacological therapy, tracheostomy, acupuncture, physiotherapy, and neuromuscular electrical stimulation for ventilator weaning. The patient was hospitalized for 66 days, with mechanical ventilation duration for 32 days. Conclusions. Factors that can influence the duration of ventilation weaning are the level and severity of spinal cord injury, time of transfer to a health facility, and complications related to ventilator installation. Multidisciplinary management, including pharmacological, physiotherapy, acupuncture, surgical, neuromuscular electrical stimulation, can increase the
chances and decreasing the duration of mechanical ventilation, and reducing complications related to spinal cord injury and prolonged ventilation. |
| format | Article |
| id | doaj-art-a9a0f68b9a4942118a643a0b4e036fb2 |
| institution | DOAJ |
| issn | 1843-8148 2069-6094 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Neurology |
| spelling | doaj-art-a9a0f68b9a4942118a643a0b4e036fb22025-08-20T02:48:51ZengAmaltea Medical Publishing HouseRomanian Journal of Neurology1843-81482069-60942024-06-0123220421510.37897/RJN.2024.2.17Effectiveness of respiratory management for mechanical ventilator weaning in traumatic spinal cord injury patients with prolonged ventilationPukovisa Prawiroharjo0Julia Remi Chandra1Diatri Nari Lastri2Ramdinal Aviesena Zairinal3Adre Mayza4Yetty Ramli5Maula N. Gaharu6Riyadh Firdaus7Peggy8Yoshua Viventius9Department of Neurology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Neurology, “Dr Cipto Mangunkusumo” Hospital, Jakarta, Indonesia; Department of Neurology, Universitas Indonesia Hospital, Jakarta, IndonesiaDepartment of Neurology, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaDepartment of Neurology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Neurology, “Dr Cipto Mangunkusumo” Hospital, Jakarta, IndonesiaDepartment of Neurology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Neurology, “Dr Cipto Mangunkusumo” Hospital, Jakarta, Indonesia; Department of Neurology, Universitas Indonesia Hospital, Jakarta, IndonesiaDepartment of Neurology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Neurology, “Dr Cipto Mangunkusumo” Hospital, Jakarta, IndonesiaDepartment of Neurology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Neurology, “Dr Cipto Mangunkusumo” Hospital, Jakarta, IndonesiaDepartment of Neurology, Bhayangkara Tk.I Police Hospital, Jakarta, IndonesiaDepartment of Anesthesiology and Intensive Care, “Dr Cipto Mangunkusumo” Hospital, Jakarta, IndonesiaDepartment of Medical Rehabilitation, “Dr Cipto Mangunkusumo” Hospital, Jakarta, IndonesiaDepartment of Medical Acupuncture, “Dr Cipto Mangunkusumo” Hospital, Jakarta, IndonesiaBackground. Traumatic spinal cord injury is a medical condition which often results in disability and mortality. The most common lesion was cervical level, which is around 60-75% of all cases, where at this level there is a risk of respiratory problems which often require mechanical ventilation. Case report. In the case discussed, a 28-years-old male was referred from other hospital with traumatic cervical spinal cord injury (C5-C6) ASIA score A with a history of falling from a height of 3 meters. The patient underwent decompressive laminectomy on the tenth day of onset, followed by mechanical ventilation. During treatment, the patient received pharmacological therapy, tracheostomy, acupuncture, physiotherapy, and neuromuscular electrical stimulation for ventilator weaning. The patient was hospitalized for 66 days, with mechanical ventilation duration for 32 days. Conclusions. Factors that can influence the duration of ventilation weaning are the level and severity of spinal cord injury, time of transfer to a health facility, and complications related to ventilator installation. Multidisciplinary management, including pharmacological, physiotherapy, acupuncture, surgical, neuromuscular electrical stimulation, can increase the chances and decreasing the duration of mechanical ventilation, and reducing complications related to spinal cord injury and prolonged ventilation.https://rjn.com.ro/articles/2024.2/RJN_2024_2_Art-17.pdfmechanical ventilationrespiratory managementspinal cord injuryventilation weaning |
| spellingShingle | Pukovisa Prawiroharjo Julia Remi Chandra Diatri Nari Lastri Ramdinal Aviesena Zairinal Adre Mayza Yetty Ramli Maula N. Gaharu Riyadh Firdaus Peggy Yoshua Viventius Effectiveness of respiratory management for mechanical ventilator weaning in traumatic spinal cord injury patients with prolonged ventilation Romanian Journal of Neurology mechanical ventilation respiratory management spinal cord injury ventilation weaning |
| title | Effectiveness of respiratory management for mechanical ventilator weaning in traumatic spinal cord injury patients with prolonged ventilation |
| title_full | Effectiveness of respiratory management for mechanical ventilator weaning in traumatic spinal cord injury patients with prolonged ventilation |
| title_fullStr | Effectiveness of respiratory management for mechanical ventilator weaning in traumatic spinal cord injury patients with prolonged ventilation |
| title_full_unstemmed | Effectiveness of respiratory management for mechanical ventilator weaning in traumatic spinal cord injury patients with prolonged ventilation |
| title_short | Effectiveness of respiratory management for mechanical ventilator weaning in traumatic spinal cord injury patients with prolonged ventilation |
| title_sort | effectiveness of respiratory management for mechanical ventilator weaning in traumatic spinal cord injury patients with prolonged ventilation |
| topic | mechanical ventilation respiratory management spinal cord injury ventilation weaning |
| url | https://rjn.com.ro/articles/2024.2/RJN_2024_2_Art-17.pdf |
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