{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:32:19Z","timestamp":1777923139030,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2003,3,1]],"date-time":"2003-03-01T00:00:00Z","timestamp":1046476800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurorehabil Neural Repair"],"published-print":{"date-parts":[[2003,3]]},"abstract":"\n Pulmonary complications contribute to morbidity and mortality in spinal cord injuries (SCIs). A retrospective review of 20 years of experience with tracheostomy- and ventilator-dependent SCI children is presented. The authors developed and analyzed a database of 47 children (average age = 11.4 years). Of the patients, 27% had concomitant brain injuries, 6% had prior histories of reactive airway disease, and 2% had thoracic fractures. Injuries were caused by motor vehicle accidents (53%); gunshot wounds (19%); sports-related accidents (19%); and vascular injuries, transverse myelitis, or spinal tumors (8%). Of the injuries, 52% were high level (C1 to C2) and 48% were mid- or low level (C3 to C5). Two groups were analyzed for demographic information. Complications included tracheitis, atelectasis, and pneumonia. Mean tidal volume was 14 cm\n 2<\/jats:sup>\n \/kg (maximum = 22 cm\n 2<\/jats:sup>\n \/kg). Bedside lung function parameters were attempted to assess readiness and the rapidity of weans. T-piece sprints were used to successfully wean 63% of patients. Successfully weaned patients were compared with those not weaned. No deaths or readmissions for late-onset respiratory failure postwean occurred. The authors' clinical impression favors higher tidal volumes and aggressive bronchial hygiene to minimize pulmonary complications and enhance weaning. Successfully weaned patients had fewer complications. A critical pathway for respiratory management of SCI children is presented.\n <\/jats:p>","DOI":"10.1177\/0888439003251751","type":"journal-article","created":{"date-parts":[[2003,4,28]],"date-time":"2003-04-28T06:12:24Z","timestamp":1051510344000},"page":"32-36","source":"Crossref","is-referenced-by-count":18,"title":["Respiratory Management of Pediatric Patients with Spinal Cord Injuries: Retrospective Review of the duPont Experience"],"prefix":"10.1177","volume":"17","author":[{"given":"Raj","family":"Padman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Alexander","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Thorogood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Porth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,3,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.1963.22"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1038\/sc.1966.1"},{"key":"atypb3","first-page":"1","volume-title":"Spinal cord injury: concepts and approaches","author":"Buchanan L.","year":"1987"},{"key":"atypb4","first-page":"248","volume":"74","author":"DeVivo MJ","year":"1993","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb5","first-page":"97","volume":"14","author":"Jackson AB","year":"1991","journal-title":"J Am Paraplegia Soc"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1973.39.5.0596"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1378\/chest.97.6.1446"},{"key":"atypb8","first-page":"121","volume":"134","author":"Estenne M","year":"1986","journal-title":"Am Rev Respir Dis"},{"key":"atypb9","first-page":"1115","volume":"133","author":"De Troyer A","year":"1986","journal-title":"Am Rev Respir Dis"},{"key":"atypb10","first-page":"41","volume":"124","author":"Ledsome JR","year":"1981","journal-title":"Am Rev Respir Dis"},{"key":"atypb11","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1542\/peds.82.5.741","volume":"82","author":"Gilgoff IS","year":"1988","journal-title":"Pediatrics"},{"key":"atypb12","first-page":"121","volume":"8","author":"Gluck E","year":"1993","journal-title":"J Crit Illness"},{"key":"atypb13","first-page":"1111","volume":"134","author":"Tobin MJ","year":"1986","journal-title":"Am Rev Respir Dis"},{"key":"atypb14","first-page":"905","volume":"74","author":"Citta-Pietrolungo TJ","year":"1993","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1980.03300320020014"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3100818"}],"container-title":["Neurorehabilitation and Neural Repair"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0888439003251751","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0888439003251751","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:39:51Z","timestamp":1777667991000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0888439003251751"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,3]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2003,3]]}},"alternative-id":["10.1177\/0888439003251751"],"URL":"https:\/\/doi.org\/10.1177\/0888439003251751","relation":{},"ISSN":["1545-9683","1552-6844"],"issn-type":[{"value":"1545-9683","type":"print"},{"value":"1552-6844","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,3]]}}}