Can-SCIP Coach App
  1. Can-SCIP
  2. Recommendations
  3. Guidelines
  4. Section 1 - COMPONENTS OF IDEAL SCI CARE SYSTEM

E - EARLY ACUTE CARE




Clinicians should monitor individuals with acute cervical SCI in the intensive care unit or a comparable high acuity unit with continuous monitoring. (CAN-SCIP 2020; Level C)
Patients with SCI requiring mechanical ventilation should be considered for early tracheostomy. (CAN-SCIP 2020; Level B)
Intensive care unit management of patients with acute traumatic central cord syndrome, particularly patients with severe neurological deficits, is recommended. (CNS-ATCCS 2013, p.195; Level C)
To improve spinal cord perfusion, medical management, including cardiac, hemodynamic, and respiratory monitoring, and maintenance of mean arterial blood pressure at 85 to 90 mm Hg for the first week after the injury is recommended. (Adapted from CNS-ATCCS 2013, p.195; Level C)
We recommend mechanical insufflation-exsufflation as adjunctive therapy to assess bronchial clearance in acute SCI patients. (CAN-SCIP 2020; Level B)
We recommend clinicians prescribe midodrine hydrochloride as a treatment option to improve orthostatic hypotension. (CAN-SCIP 2020; Level B)