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Autonomic Dysreflexia After Hip Fractures Managed by Regional Anesthesia: A Case Report.
Huynh, Alexander; Ryan, Rabiul; Patel, Rohan; Molina, Alan; Olson, Alexander M; Schwenk, Eric S.
Afiliación
  • Huynh A; From the Department of Anesthesiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
  • Ryan R; From the Department of Anesthesiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
  • Patel R; From the Department of Anesthesiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
  • Molina A; Department of Anesthesiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania.
  • Olson AM; Department of Anesthesiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania.
  • Schwenk ES; Department of Anesthesiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania.
A A Pract ; 16(1): e01556, 2022 Jan 11.
Article en En | MEDLINE | ID: mdl-35020604
Autonomic dysreflexia occurs after a spinal cord injury usually at the level of T6 or above, and its hallmark feature is exaggerated autonomic response to noxious stimuli resulting in uncontrolled hypertensive episodes with reflexive bradycardia that can be fatal if not controlled. We present a case highlighting regional anesthetic techniques, including peripheral nerve blocks, to ameliorate the symptoms of autonomic dysreflexia triggered by hip fractures in a 57-year-old woman with an old C5-C6 spinal cord injury before definitive hip surgery. The regional techniques described provide anesthesiologists with a simple strategy to potentially mitigate a life-threatening situation.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos de la Médula Espinal / Disreflexia Autónoma / Fracturas de Cadera / Hipertensión / Anestesia de Conducción Tipo de estudio: Etiology_studies Límite: Female / Humans / Middle aged Idioma: En Revista: A A Pract Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos de la Médula Espinal / Disreflexia Autónoma / Fracturas de Cadera / Hipertensión / Anestesia de Conducción Tipo de estudio: Etiology_studies Límite: Female / Humans / Middle aged Idioma: En Revista: A A Pract Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos