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DOI: 10.1055/s-0036-1584887
Choque neurogênico: manejo clínico e suas particularidades na sala de emergência
Artikel in mehreren Sprachen: English | portuguêsPublikationsverlauf
13. April 2016
10. Mai 2016
Publikationsdatum:
25. Oktober 2016 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00028832/201803/lookinside/thumbnails/10-1055-s-0036-1584887_1600030_pt-1.jpg)
Resumo
O impacto do choque neurogênico na traumatologia não é desprezível. Trata-se de uma condição importante, associada a lesão do neuroeixo, podendo ser medular e/ou cerebral. O conhecimento de sua fisiopatologia vem aumentando, permitindo assim a redução de sua morbimortalidade com intervenções mais precisas e eficazes já na sala de emergência. Neste artigo de revisão, o autor apresenta informações atuais sobre o manejo do choque neurogênico na sala de emergência, destacando medidas neuroprotetoras que impactem positivamente em sua evolução. Diversas medidas farmacológicas ainda são questionáveis, necessitando novos estudos prospectivos e aleatórios. O momento adequado da intervenção neurocirúrgica também é discutível. Claramente, as medidas iniciais realizadas na sala de emergência são fundamentais para garantir condições adequadas a neuroplasticidade e reabilitação neuronal.
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