Accession Number : AD1005819


Title :   Effects of Early Acute Care on Autonomic Outcomes in SCI: Bedside to Bench and Back


Descriptive Note : Technical Report,30 Sep 2014,29 Sep 2015


Corporate Author : University of California, San Francisco San Francisco United States


Personal Author(s) : Beattie,Michael


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/1005819.pdf


Report Date : 01 Oct 2015


Pagination or Media Count : 110


Abstract : Early management of blood pressure (BP) may be critical to outcome after spinal cord injury (SCI), but evidence-based protocols are needed. Optimal early treatment and management of SCI has not been established in clinical practice, nor in animal models. Guidelines for management of BP in acute SCI have been influenced by the rather clear evidence of a relationship between hypotension and poor outcomes in TBI, and the aim of maintaining cerebral blood flow in the face of increased intracranial pressure (ICP), but doubt remains about what is best for SCI. This grant focuses on the following two hypotheses:1) Episodes of low BP (measured by mean arterial pressure (MAP) and systolic BP) in the early management of clinical SCI predict worse long-term functional outcomes, and 2)spontaneous hypotensive episodes in the perioperative period of experimental SCI in rats will result in worse outcomes. Both clinical data and experimental modeling studies address these specific hypotheses.


Descriptors :   blood pressure , spinal cord , wounds and injuries , therapeutics , hypotension , rats


Distribution Statement : APPROVED FOR PUBLIC RELEASE