Effects of Early Acute Care on Autonomic Outcomes in SCI: Bedside to Bench and Back
Annual rept. 30 Sep 2013-29 Sep 2014
CALIFORNIA UNIV SAN FRANCISCO
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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.
- Anatomy and Physiology
- Medicine and Medical Research