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Updated: Dec 16, 2025

A Murine Model of Cervical Spinal Cord Injury to Study Post-lesional Respiratory Neuroplasticity
Published on: May 28, 2014
Noninvasive Respiratory Management of Spinal Cord Injury
John R Bach1, Lindsay Burke1, Michael Chiou2
1Department of Physical Medicine and Rehabilitation, Rutgers University New Jersey Medical School, Behavioral Health Sciences Building, 183 South Orange Avenue, Newark, NJ 07103, USA.
Abstract:
Intubated ventilator-dependent patients with high-level spinal cord injury can be managed without tracheostomy tubes provided that they have sufficient cognition to cooperate and that any required surgical procedures are completed and they are medically stable. Intubation for a month or more than extubation to continuous noninvasive ventilatory support (NVS) can be safer long term than resort to tracheotomy. Noninvasive ventilation (NIV) is not conventionally being used for ventilatory support. Noninvasive interfaces include mouthpieces, nasal and oronasal interfaces, and intermittent abdominal pressure ventilators. NIV/NVS should never been used without consideration of mechanical insufflation-exsufflation for airway secretion clearance.
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