10-1-10 AnesMgtAcuteChronicSCIvoice (1)

Anesthetic Management of Acute and Chronic Spinal Cord Injuries:

Anesthetic Management of Acute and Chronic Spinal Cord Injuries Jun Lin, M.D., Ph.D. Attending Physician Department of Anesthesiology Long Island College Hospital 339 Hicks Street Brooklyn, NY 11201 Associate Professor Department of Anesthesiology State University of New York - Downstate Medical Center 450 Clarkson Avenue, Box 6 Brooklyn, New York 11203

Types of Spinal Cord Injuries:

Types of Spinal Cord Injuries Traumatic: MVA, assault, falls, sporting injuries Non-traumatic: infection, tumor, vascular malformations Mechanism of injury: direct, compression, interruption of blood supply 10,000 + new cases per year in the U.S., ~ 50% cervical spine injury 30-40/million in America/year 250,000 + people living with Spinal Cord Injury in the U.S. Reference/Further reading: Wyndaele M and Wyndaele J-J . Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey? Incidence and prevalence of SCI. Spinal Cord 2006; 44:523-529

Hypothesized Case for Education Purpose Only:

Hypothesized Case for Education Purpose Only An unknown age patient brought to emergency room, suffered from an automobile accident. Awake, in acute stress, unable to move four extremities. BP 80/40 mmHg, P 49/min, RR 34/min, O 2 saturation 88% on supplemental O 2 . Patient is scheduled for emergent cervical decompression. What are your concerns? How will you secure patient’s airway? Is succinylcholine safe to use?