Korean J Anesthesiol.
1989 Aug;22(4):551-555. 10.4097/kjae.1989.22.4.551.
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
- Affiliations
-
- 1Neuroanesthesia, Department of Anesthesiology, Seoul National University Hosptial, Seoul, Korea.
- 2Neuroanesthesia, Department of Anesthesiology, Dong-guk University, Pohang Hospital, Korea.
- KMID: 2239429
- DOI: http://doi.org/10.4097/kjae.1989.22.4.551
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.
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