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Table 4 Haemodynamic Management Questions and Responses

From: Emergency and acute care management of traumatic spinal cord injury: a survey of current practice among senior clinicians across Australia

Survey Question

Response – n, %(n/n total respondents for that particular question)

16. Is there a target blood pressure for acute TSCI patients? (n = 57)

• Yes [35 (61.4%)]

• No [22 (38.6%)]

17. If yes to above, what is the target for mean arterial blood pressure (mmHg) (n = 35)

• 60–70 mmHg [12 (34.3%)]

• 71-80 mmHg [10 (28.5%)]

• 81–90 mmHg [13 (37.1%)]

18. Target systolic blood pressure? (n = 17)

• 85–95 mmHg [6 (35.3%)]

• 100–110 mmHg [7 (41.2%)]

• 115–120 mmHg [4 (23.5%)]

19. Are patients kept in ICU for entire period of induced hypertension therapy? (n = 57)

• Yes [36 (63.2%)]

• No [21 (36.8%)]

20. Are there any patient groups for which active BP management does not apply? (n = 41)

• Yes [11 (26.8%)] (patients with major haemorrhage requiring surgery; elderly with comorbidities; complete cord transection, high cervical injuries and life-threatening injuries including penetrating truncal injury with central pulses present)

• No [30 (73.2%)]

21. Do you believe hypertension therapy following acute TSCI has an impact on neurological outcome? (n = 57)

• Yes [38 (66.7%)]

• No [19 (33.3%)]

22. Do you aim to increase heart-rate in the bradycardia patient with TSCI in neurogenic shock? (n = 44)

• Yes [13 (29.5%)] (only if their heart rate was < 40 and MAP < 90; or if they were physiologically compromised, hypovolaemic or if perfusion remained inadequate despite fluid resuscitation)

• No [31 (71.5%)]

23. If you have excluded hypovolemia, do you still aim to maintain a target blood pressure for treatment of TSCI? (n = 48)

• Yes [44 (91.7%)]

• No [4 (8.3%)]

24. Does the presence of a TBI influence your management of blood pressure for TSCI in the same patient? (n = 46)

• Yes [26 (56.53%)] (depended on the TBI-specific targets such as the target Cerebral Perfusion Pressure, Intracranial Pressure).

No [20 (43.5%)]

25. Do you think concomitant penetrating trauma causing significant bleeding is a contraindication to initiating hypertension therapy following acute TSCI? (n = 45)

• Yes [37 (82.2%)]

• No [8 (17.8%)]