By Consortium for Spinal Cord Medicine
Medical perform advisor strains thatwould meet the desires of someone with contemporary onset spinal wire damage who's in resp misery. This rfile represents the simplest concepts that the Consortium for Spinal twine drugs may supply given the provision of clinical facts.
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Extra info for Spinal Cord Medicine Respiratory Management Following Spinal Cord Injury: Clinical Practice Guidline for Health-Care Professionals
Scope: Respiratory care practitioners (RCPs) and other clinicians with demonstrated competencies. Policy Statement: All patients who are placed on wean protocol by physician order shall be weaned according to the following criteria. Wean protocol may be ordered independently of other protocols. B. On the judgment of the RCP, a patient can have time increased a maximum of two steps at a time on the wean protocol schedule. Procedure: I. Physician writes “Wean Protocol” after admission to hospital.
21 22 RESPIRATORY MANAGEMENT FOLLOWING SPINAL CORD INJURY Comella et al. (1992) reports that 50% of patients treated with botulinum toxin had new pharyngeal dysfunction by videofluoroscopic swallowing studies. The authors caution that muscle fibers can be adversely affected by medications, such as corticosteroids, lipid-lowering agents, colchicines, and L-tryptophan. Many of these medications are used frequently by people with tetraplegia; if there is dysphagia or aspiration and these medications are being used, consideration should be given to alternative treatment.
Inability to turn the head to spit out regurgitated material. Medications that slow gastrointestinal activity or cause nausea and vomiting. Recent anterior cervical spine surgery. Presence of a tracheostomy. Advanced age. (Scientific evidence–V; Grade of recommendation–C; Strength of panel opinion–Strong) Kirshblum et al. (1999) studied the incidence of aspiration in 187 patients with acute traumatic spinal cord injury. 8%). 028) were three independent predictors of dysphagia by VFSS. Tracheostomy at admission was the strongest single predictor of dysphagia.