Intensive Care Network Podcasts

Hypertensing SCI - Gold standard or whacky?

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Synopsis

After spinal cord injury (SCI), there aren’t many interventions we have available that actually make a difference.  Augmenting blood pressure to increase spinal cord perfusion pressure is an attractive concept that may improve neurological outcomes following SCI. We know that hypotension can make SCI worse. Clinical studies looking at blood pressure augmentation are mostly old, retrospective and flawed in various ways.  Aiming for a MAP of > 85 for 5-7 days is recommended by guidelines but why this pressure and duration are good questions. Hypertensive therapy is relatively safe and easy to implement but not without risk.  In this podcast, Tessa Garside discusses the pros and cons, how this is managed practically and what the future may hold in this area. This is a CODA Podcast that was recorded at CODA2022. Want more content about SCI? Visit neuroresus.com or subscribe to be notified of new podcast releases via email.