Coluna Flashcards

1
Q

Frequência dos tipos de fratura de coluna

A

Types of fractures were distributed as follows: compression fractures in 54.8% of patients, distraction fractures in 16.9%, and rotational fractures in 18.5%.

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2
Q

Mecanismo de trauma de coluna mais comuns

A

Queda de alto impacto 39% e colisão automobil8stica 26.5%

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3
Q

Segmento mais associado com lesão sensitiva e motora

A

Cervical

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4
Q

É frequente deficit sensitivo e motor no trauma de coluna ?

A

25%

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5
Q

Quando evitar bnm despolarizante no trm ?

A

Succinylcholine should be avoided after the initial 48 to 72 hours following an SCI.

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6
Q

Qual a recomendação de meta pressorica após trm ?

A

The American Association of Neurological Surgeons (AANS) has, therefore, recommended that systemic arterial pressure be maintained at greater than 90 mm Hg for 5 to 7 days after SCI (class 3 evidence).

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7
Q

Tem recomendação de fazer corticoide pós TRM?

A

Although it remains controversial, data from a Cochrane review support a 48-hour course of high-dose steroids initiated within 8 hours of injury to those patients with incomplete neurologic deficits.

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8
Q

Causas de perda visual pos op

A

perioperative visual loss can be caused by anterior or posterior ischemic optic neuropathy (ION, 89% of the cases), retinal ischemia, cortical blindness, or posterior reversible encephalopathy.

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9
Q

Fatores de risco para neuropatia óptica isquêmica

A

risk factors for ION after spinal fusion surgery to be male sex, obesity, Wilson frame use, longer procedural duration, greater estimated blood loss, and lower percent colloid administration.2

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