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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2018; 37(03): 196-205
DOI: 10.1055/s-0036-1584887
Review Article | Artigo de Revisão
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Choque neurogênico: manejo clínico e suas particularidades na sala de emergência

Article in several languages: English | português
Daniel Damiani
1   Department of Neuroscience, Universidade Anhembi Morumbi, São Paulo, SP, Brazil
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Publication History

13 April 2016

10 May 2016

Publication Date:
25 October 2016 (online)

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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.

Palavras-chave

choque neurogênico - choque medular - cuidados intensivos - trauma raquimedular - traumatismo cranioencefálico - neurotrauma
 

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