Control of Hypertension with Intravenous Sodium Nitroprusside in Autonomic Hyperreflexia occurred during during General Anesthesia in a Patient with Spinal Cord Injury - A case report.
10.4097/kjae.1989.22.4.551
- Author:
Yong Seok OH
1
;
Chung Su KIM
;
Gyu Jeong NOH
;
Jae Hyun PARK
;
Sung Ryang CHUNG
Author Information
1. Neuroanesthesia, Department of Anesthesiology, Seoul National University Hosptial, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Chronic spinal cord injury;
Autonomic hyperreflexia;
Complication;
Sodium nitroprus-side;
Vasodilator;
Treatment
- MeSH:
Anesthesia;
Anesthesia, General*;
Arrhythmias, Cardiac;
Autonomic Dysreflexia*;
Humans;
Hypertension*;
Infusions, Intravenous;
Lidocaine;
Nitroprusside*;
Reflex;
Sodium*;
Spinal Cord Injuries*;
Spinal Cord*;
Vasodilator Agents
- From:Korean Journal of Anesthesiology
1989;22(4):551-555
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Autonomic hyperreflexia is a syndrome of massive reflex sympathetic discharge that occurs in patients with chronic spinal cord lesions above the major sympathetic splanchnic outflow (T 4 -T6). We experienced autonomic hyperreflexia that occured in a patient with spinal cord trans-section at T5 level during general anesthesia with O2-N2O-halothane. Hypertension was controlled with intravenous infusion of sodium nitroprusside (1-2 ug/kg/min) and ventricular arrhythmia was treated with intra- venous lidocaine. We recommend that direct acting vasodilators are useful drugs to control hypertension in autonomic hyperreflexia during anesthesia in patients with chronic spinal cord injury.
