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We undertook a systematic review of the literature to examine the evidence that intensive care management improves outcome after SCI and to attempt to define key parameters for cardiopulmonary support\/resuscitation. We review the literature in five areas: management of SCI patients in specialized centers, risk in SCI patients of cardiopulmonary complications, parameters for blood pressure and oxygenation\/ventilation support following SCI, risk factors for cardiopulmonary insufficiency requiring ICU care after SCI, and preventative strategies to reduce the risks of cardiopulmonary complications in SCI patients. The literature supports that, in light of the significant incidence of cardiorespiratory complications, SCI patients should be managed in a monitored special care unit. There is weak evidence supporting the maintenance of MAP &gt;85 mmHg for a period extending up to 1 week following SCI.<\/jats:p>","DOI":"10.1089\/neu.2009.1156","type":"journal-article","created":{"date-parts":[[2009,12,23]],"date-time":"2009-12-23T12:33:26Z","timestamp":1261571606000},"page":"1479-1495","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":89,"title":["A Systematic Review of Intensive Cardiopulmonary Management after Spinal Cord Injury"],"prefix":"10.1177","volume":"28","author":[{"given":"Steven","family":"Casha","sequence":"first","affiliation":[{"name":"Dalhousie University","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Christie","sequence":"additional","affiliation":[{"name":"Dalhousie University","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,8,1]]},"reference":[{"key":"e_1_3_2_2_1","first-page":"121","article-title":"A comparison of the chest radiograph and computerised tomography in assessing lung changes in acute spinal injuries\u2013\u2013an assessment of their prevalence and the accuracy of the chest X-ray compared with CT in their assessment","volume":"33","author":"Bain G.","year":"1995","unstructured":"Bain G., , Bodley R., , Jamous A., , Williams S., , Silver J. 1995. 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