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- W2917999924 endingPage "247" @default.
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- W2917999924 abstract "La lesión medular traumática precisa una acción multidisciplinar, tanto para el tratamiento especializado de la fase aguda como para las complicaciones secundarias. La sospecha y/o el diagnóstico de una lesión medular es el primer paso para establecer un tratamiento correcto. En esta revisión se aborda el manejo en la fase prehospitalaria y los aspectos característicos de la fase aguda. La monitorización respiratoria para una intubación selectiva precoz, la identificación y el tratamiento correcto del shock neurogénico son fundamentales para la prevención del daño medular secundario. En la actualidad el uso de esteroides no es un estándar en el tratamiento neuroprotector, siendo el control hemodinámico y la descompresión quirúrgica precoz pilares fundamentales. La lesión medular traumática generalmente se presenta en el contexto de un politraumatismo que puede dificultar el diagnóstico. El examen neurológico y la selección adecuada de pruebas radiológicas evitan que pase desapercibida la lesión medular y otras lesiones asociadas, y ayudan a establecer el pronóstico. Traumatic spinal cord injury requires a multidisciplinary approach both for specialized treatment of the acute phase and for dealing with the secondary complications. A suspicion or diagnosis of spinal cord injury is the first step for a correct management. A review is made of the prehospital management and characteristics of the acute phase of spinal cord injury. Respiratory monitoring for early selective intubation, proper identification and treatment of neurogenic shock are essential for the prevention of secondary spinal cord injury. The use of corticosteroids is currently not a standard practice in neuroprotective treatment, and hemodynamic monitoring and early surgical decompression constitute the cornerstones of adequate management. Traumatic spinal cord injury usually occurs as part of multiple trauma, and this can make diagnosis difficult. Neurological examination and correct selection of radiological exams prevent delayed diagnosis of spinal cord injuries, and help to establish the prognosis." @default.
- W2917999924 created "2019-03-02" @default.
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- W2917999924 creator A5082894107 @default.
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- W2917999924 creator A5091163374 @default.
- W2917999924 date "2017-05-01" @default.
- W2917999924 modified "2023-09-27" @default.
- W2917999924 title "Actualización en lesión medular aguda postraumática. Parte 1" @default.
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- W2917999924 doi "https://doi.org/10.1016/j.medin.2016.11.002" @default.
- W2917999924 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/28161028" @default.
- W2917999924 hasPublicationYear "2017" @default.
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