Coluna Flashcards
Frequência dos tipos de fratura de coluna
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%.
Mecanismo de trauma de coluna mais comuns
Queda de alto impacto 39% e colisão automobil8stica 26.5%
Segmento mais associado com lesão sensitiva e motora
Cervical
É frequente deficit sensitivo e motor no trauma de coluna ?
25%
Quando evitar bnm despolarizante no trm ?
Succinylcholine should be avoided after the initial 48 to 72 hours following an SCI.
Qual a recomendação de meta pressorica após trm ?
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).
Tem recomendação de fazer corticoide pós TRM?
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.
Causas de perda visual pos op
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.
Fatores de risco para neuropatia óptica isquêmica
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