Evidence map›Paper›PMID 40551217›Full record

ReviewJournal of anesthesia, analgesia and critical care2025

Perioperative management in acute and chronic spinal cord injury, narrative review.

Israel Valdez-Resendiz, Estefany Nohemí Salgado-Camarillo, Fernanda Hernández-Morales, César Alejandro Martínez-de Los Santos, Chiara Robba

Abstract readReview
In one paragraph

Review in Journal of anesthesia, analgesia and critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Israel Valdez-ResendizDepartment of Anesthesiology Hospital Zambrano Hellion TecSalud, Multicenter Program of Medical Specialties of the School of Medicine and Health Sciences of the Tecnológico de Monterrey, Monterrey, Nuevo Leon, Mexico.ORCID http://orcid.org/0009-0002-3770-1516
Estefany Nohemí Salgado-CamarilloDepartment of Anesthesiology Hospital Zambrano Hellion TecSalud, Multicenter Program of Medical Specialties of the School of Medicine and Health Sciences of the Tecnológico de Monterrey, Monterrey, Nuevo Leon, Mexico.
Fernanda Hernández-MoralesDepartment of Anesthesiology Hospital Zambrano Hellion TecSalud, Multicenter Program of Medical Specialties of the School of Medicine and Health Sciences of the Tecnológico de Monterrey, Monterrey, Nuevo Leon, Mexico.
César Alejandro Martínez-de Los SantosDepartment of Anesthesiology Hospital Zambrano Hellion TecSalud, Multicenter Program of Medical Specialties of the School of Medicine and Health Sciences of the Tecnológico de Monterrey, Monterrey, Nuevo Leon, Mexico. cesarmartinez.md@tec.mx.ORCID http://orcid.org/0000-0001-6440-1928
Chiara RobbaDepartments of Anesthesia and Intensive Care, Policlinico San Martino IRCCS, for Oncology and Neuroscience, Genoa, Italy.ORCID http://orcid.org/0000-0003-1628-3845

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal cord injury (SCI) causes temporary or permanent changes and alterations in patients' motor, sensory, or autonomic function, significantly impacting their quality of life and requiring clear goals and optimization of anesthesia and perioperative care for acute and chronic spinal cord injuries. SCI results from various etiologies and involving two principal pathophysiological mechanisms: primary and secondary injury. The first is result of the traumatic event, with irreversible neuronal damage, the second is generated as a consequence and in the minutes after the first and can continue for weeks or months causing degenerative damage to the spinal cord. It is in the secondary lesion where the objectives of anesthetic and perioperative management should be focused, especially in acute lesion. A conscientious and detailed preoperative evaluation allows to identify, injury level, evolution time, airway evaluation, cervical stability, hemodynamic status, ventilatory function and associated injuries must be determined. It is important to differentiate potential hemodynamic alterations and types of shock to prevent, especially in injuries greater than T6 and if necessary, provide early management in order to maintain adequate spinal cord perfusion. The objective of this review is to identify the pathophysiological mechanisms of spinal cord injury and the secondary systemic alterations and complications, as well as to establish specific optimization objectives during anesthetic management and perioperative care, which could reduce injury progression, prevent and control potential complications, and improve the quality of life of patients with this condition.

Indexed as

AnesthesiaAutonomic dysreflexiaComplicationsPerioperative careShockSpinal cord injury

Identifiers

PMID40551217
PMCPMC12183822

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.