Current Management Strategies for Autonomic Dysreflexia
Autor: | Matthew J. Mellon, Chandra K. Flack |
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Rok vydání: | 2018 |
Předmět: |
030506 rehabilitation
medicine.medical_specialty Practice patterns business.industry Geriatrics gerontology medicine.disease Biochemistry Pharmacologic intervention 03 medical and health sciences 0302 clinical medicine Nifedipine Current management Medicine Autonomic dysreflexia In patient 0305 other medical science business Intensive care medicine Molecular Biology Spinal cord injury 030217 neurology & neurosurgery medicine.drug |
Zdroj: | Current Bladder Dysfunction Reports. 13:224-229 |
ISSN: | 1931-7220 1931-7212 |
DOI: | 10.1007/s11884-018-0488-x |
Popis: | Autonomic dysreflexia (AD) is an acute, imbalanced autonomic response to noxious or visceral stimuli in patients with a spinal cord injury (SCI) above T6. In this review, we provide the clinician with an overview of the prevention, diagnosis, and management of AD. Practice patterns of physicians that manage AD are shifting. Many practitioners are moving away from use of nifedipine and towards alternate pharmacologic therapies, namely nitrates and analgesics. Additionally, through better awareness of common triggers of AD, anesthetics have helped to prevent many cases of AD that may have previously occurred. Many pharmacologic interventions are available to the practicing physician; however, more important is a knowledge and understanding of common triggers to avoid as prevention is key. |
Databáze: | OpenAIRE |
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