Respiratory complications in patients after spinal cord injury and their management at the spinal cord unit in University Hospital Motol
Abstract
Spinal cord injury often leads to respiratory system dysfunction. With higher level lesions, the mechanics of breathing are impaired and respiratory complications may occur.
Apart from the respiratory insufficiency patients often have an impaired ability to expectorate, increased risk of aspiration, atelectasis, or bronchopneumonia. Clinical observation shows a marked decrease in the compliance of the chest wall, paradoxical breathing, and also bronchial hypersecretion.
Patients with cervical level lesions often undergo temporary placement of a tracheostomy tube. The timing of the removal of the tracheostomy tube is important.
Active and passive respiratory physiotherapy is essential in the prevention and the management of respiratory complications.