Nature Communications (Oct 2020)

Cardio-centric hemodynamic management improves spinal cord oxygenation and mitigates hemorrhage in acute spinal cord injury

  • Alexandra M. Williams,
  • Neda Manouchehri,
  • Erin Erskine,
  • Keerit Tauh,
  • Kitty So,
  • Katelyn Shortt,
  • Megan Webster,
  • Shera Fisk,
  • Avril Billingsley,
  • Alex Munro,
  • Seth Tigchelaar,
  • Femke Streijger,
  • Kyoung-Tae Kim,
  • Brian K. Kwon,
  • Christopher R. West

DOI
https://doi.org/10.1038/s41467-020-18905-8
Journal volume & issue
Vol. 11, no. 1
pp. 1 – 12

Abstract

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Clinical neuroprotective strategies for acute spinal cord injury (SCI) have largely overlooked the heart. Here the authors show cardiac contractility is immediately impaired in a porcine model of T2 SCI, and cardio-centric treatment with dobutamine optimizes cord oxygenation and mitigates haemorrhage.