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Table 2 Cardiorespiratory and coagulation management

From: The acute phase management of spinal cord injury affecting polytrauma patients: the ASAP study

 

Total

n (%)

MAP target in polytrauma with tSCI

60–70 mm Hg

14 (8.2)

70–80 mm Hg

40 (23.4)

80–90 mm Hg

84 (49.1)

90–100 mm Hg

32 (18.7)

Other

1 (0.6)

Time length of MAP target

24 h

18 (10.5)

48 h

26 (15.2)

72 h

68 (39.8)

4 d

5 (2.9)

5 d

17 (9.9)

6 d

1 (0.6)

7 d

34 (19.9)

Other

2 (1.2)

Reduction in MAP target to achieve bleeding control

Yes

100 (58.5)

No

71 (41.5)

Hb target in polytrauma without tSCI

7 g/dL

61 (35.7)

8 g/dL

47 (27.5)

9 g/dL

31 (18.1)

10 g/dL

31 (18.1)

Other

1 (0.6)

Hb target in case of tSCI

Does not change

125 (73.1)

Increases

43 (25.1)

Decreases

3 (1.8)

PaO2 target

60–80 mm Hg

22 (12.9)

80–100 mm Hg

94 (55.0)

100–120 mm Hg

43 (25.1)

 > 120 mm Hg

4 (2.3)

Other

8 (4.7)

PaCO2 target

 < 35 mm Hg

14 (8.2)

35–40 mm Hg

130 (76.0)

40–45 mm Hg

19 (11.1)

 > 45 mm Hg

0 (0.0)

other

8 (4.7)

PLTs count target

 > 50.000/μL

59 (34.5)

 > 100.000/μL

99 (57.9)

 > 250.000/μL

13 (7.6)

PT/aPTT target for tSCI Surgery

 < 1.2 normal control

81 (47.4)

 < 1.5 normal control

85 (49.7)

 < 1.8 normal control

5 (2.9)

Usefulness of POC test

Yes

109 (63.7)

No

62 (36.3)

  1. MAP mean arterial pressure, tSCI traumatic spinal cord injury, Hb hemoglobin, PaO2 arterial partial pressure of oxygen, PaCO2 arterial partial pressure of carbon dioxide, PLTs platelets, PT prothrombin time, aPTT activated partial thromboplastin time, POC point-of-care