Characteristics Of Neurogenic Shock
Keywords:
Charactristics, NeurogenicAbstract
Shock is a circulatory disorder which is defined as a condition of inadequate oxygen transport to tissues or perfusion caused by hemodynamic disorders. One type of shock, namely neurogenic shock, which is a form of distributive shock, is a critical condition resulting from dysregulation of the autonomic nervous system after spinal cord injury, especially in the cervical and upper thoracic vertebrae above T6, as a result of a traumatic event.. Worldwide , neurogenic shock occurs between fifteen and fifty-two events per million people annually with a higher incidence of cervical spine injury (SCI) (29%) compared to thoracic injury (19%). This causes hypotension and bradycardia, classic signs of neurogenic shock. There are no universally established hemodynamic parameters for neurogenic shock. However, most studies adopted the criteria of systolic blood pressure below 90 mmHg and heart rate below 80 bpm. Patients with neurogenic shock may also manifest as pink, warm skin due to dilation of subcutaneous blood vessels. Treatment of patients with neurogenic shock requires vasopressor drugs such as noradrenaline, phenylephrine, or metaraminol, and positive inotropic dopamine is recommended to treat vascular tone and prevent secondary injury.
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References
Muchsin H, Maricar F. Literature Review: Overview of Management of Neurogenic Shock Events in Patients with Spinal Cord Injuries. Fakumi Med J. 2024;04(04):338–48.
Jovita P. Shock. 2021;1–20.
Nur Aqilah N, Haeriyah Bohari S, Erwin Rachman M. Literature review: risk factors for neurogenic shock-Nadya Nur Aqilah et.al Literature review: risk factors for neurogenic shock. 2024;15(01):2024. Available from: https://ejournal.seaninstitute.or.id/index.php/healt
Jucá Moscardi MF, Jacobucci RP, Onugha HU, Marttos A. Initial Trauma Care. The Trauma Golden Hour. 2020. 29–33 p.
Dave S, Dahlstrom JJ, Weisbrod LJ. Neurogenic Shock. StatPearls [Internet] [Internet]. 2023; Available from: http://repositorio.unan.edu.ni/2986/1/5624.pdf%0Ahttp://fiskal.kemenkeu.go.id/ejournal%0Ahttp://dx.doi.org/10.1016/j .cirp.2016.06.001%0Ahttp://dx.doi.org/10.1016/j.powtec.2016.12.055%0Ahttps://doi.org/10.1016/j.ijfatigue.2019.02.006%0Ahttps://doi .org/10.1
Taha M, . A. Pathophysiology and management of different types of shock. Narayana Med J. 2017;(March):14–39.
Phillips AA, Krassioukov A V. Cardiovascular dysfunction following spinal cord injury. Neurol Asp Spinal Cord Inj. 2017;3(3):325–61.
Taylor MP, Wrenn P, O'Donnell AD. Presentation of neurogenic shock within the emergency department. Emerg Med J. 2017;34(3):157–62.
Dinata IGS, Agung A, Wira G, Yasa P. The Overview of Spinal Cord Injury. 2021;1(2):103–13.
Atmadja AS, Sekeon, Sekplin A, Nhang DJ. Diagnosis and Management of Traumatic Spinal Cord Injuries. Synapse Journal. 2021;
