TY - JOUR AU - Damiani, Daniel TI - Neurogenic Shock: Clinical Management and Particularities in an Emergency Room SN - 0103-5355 SN - 2359-5922 PY - 2018 JF - Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery LA - EN VL - 37 IS - 03 SP - 196 EP - 205 ET - 2016/10/25 DA - 2018/10/18 KW - neurogenic shock KW - spinal shock KW - intensive care KW - spinal cord injury KW - head trauma KW - neurotrauma AB - Neurogenic shock has a strong impact in traumatology. It is an important condition, associated with lesions in the neuraxis and can be medullar and/or cerebral. In the last years, its pathophysiology has been better understood, allowing a reduction in the morbimortality with more precise and efficacious interventions taking place in the emergency room. In this review article, the author presents the current aspects of the management of neurogenic shock, highlighting the neuroprotective measures that improve the outcome. Many pharmacologic interventions are still questionable and need more prospective studies to accurately assess their real value. The best moment for neurosurgical intervention is also debatable. Quite clearly, the initial proceedings in the emergency room are fundamental to guarantee the adequate conditions for neuroplasticity and neuronal rehabilitation. PB - Thieme Revinter Publicações Ltda DO - 10.1055/s-0036-1584887 UR - http://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0036-1584887 ER -