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Spinal cord rehabilitation centres are a well\u2010established part of the care pathway for patients with spinal cord injury and facilitate improvements in functional independence and reductions in healthcare costs. Within the UK, however, there are a limited number of spinal cord injury centres, which delays admission. Patients and their families often perceive that they are not receiving specialist care while being treated in non\u2010specialist units. This review aimed to provide clinicians who work in non\u2010specialist spinal injury centres with a summary of contemporary studies relevant to the critical care management of patients with cervical spinal cord injury. We undertook a targeted literature review including guidelines, systematic reviews, meta\u2010analyses, clinical trials and randomised controlled trials published in English between 1 June 2017 and 1 June 2023. Studies involving key clinical management strategies published before this time, but which have not been updated or repeated, were also included. We then summarised the key management themes: acute critical care management approaches (including ventilation strategies, blood pressure management and tracheostomy insertion); respiratory weaning techniques; management of pain and autonomic dysreflexia; and rehabilitation.<\/jats:p>","DOI":"10.1111\/anae.16198","type":"journal-article","created":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T07:21:58Z","timestamp":1702452118000},"page":"193-202","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Management of acute cervical spinal cord injury in the non\u2010specialist intensive care unit: a narrative review of current evidence"],"prefix":"10.1111","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2299-0060","authenticated-orcid":false,"given":"M. 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