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Doctors Lounge - Neurology Answers

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Forum Name: Neurology Topics

Question: dysreflexia


 bergles - Sun May 17, 2009 12:44 pm Bookmark and Share  

I am a quadriplegic with a spinal cord injury. I am prone to autonomic dysreflexia. I am having surgery to remove a kidney stone and am concerned about having dysreflexia during the surgery. Will this be an issue since I will be under anesthesia?
 Tom Plamondon PA-C - Tue Oct 27, 2009 3:24 pm Bookmark and Share  

User avatar Hello,
Noxious stimuli can cause autonomic dysreflexia which elevates the blood pressure in SCI above level of T6.

Pre operatively, it will be important to resolve any constipation and makes sure no UTI's. Under anesthesia, sedation should eliminate any pain receptors from causing rise in heart rate but you should certainly discussed everything with the anesthesiologist before the procedure.

Take care.

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