Severe autonomic dysreflexia induced cardiac arrest under isoflurane anesthesia in a patient with lower thoracic spine injury

We present a case of severe autonomic dysreflexia (AD) progressing to cardiac arrest and death under isoflurane anesthesia. Though AD in chronic cervical spine injury is a common entity, occurrence of such an event in the stage of flaccid paralysis in lower dorsal spinal cord injury is rare, especia...

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Autores principales: Jain, Amit, Ghai, Babita, Jain, Kajal, Makkar, Jeetinder K, Mangal, Kishore, Sampley, Supriya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713676/
https://www.ncbi.nlm.nih.gov/pubmed/23878450
http://dx.doi.org/10.4103/0970-9185.111652
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author Jain, Amit
Ghai, Babita
Jain, Kajal
Makkar, Jeetinder K
Mangal, Kishore
Sampley, Supriya
author_facet Jain, Amit
Ghai, Babita
Jain, Kajal
Makkar, Jeetinder K
Mangal, Kishore
Sampley, Supriya
author_sort Jain, Amit
collection PubMed
description We present a case of severe autonomic dysreflexia (AD) progressing to cardiac arrest and death under isoflurane anesthesia. Though AD in chronic cervical spine injury is a common entity, occurrence of such an event in the stage of flaccid paralysis in lower dorsal spinal cord injury is rare, especially under general anesthesia. Manipulation of urinary bladder catheter under light plane of isoflurane anesthesia might be the precipitating factor. Increasing concentration of isoflurane failed to abort the episode or might have aggravated it. High level of suspicion and vigilance is necessary to prevent, diagnose and treat such a condition.
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spelling pubmed-37136762013-07-22 Severe autonomic dysreflexia induced cardiac arrest under isoflurane anesthesia in a patient with lower thoracic spine injury Jain, Amit Ghai, Babita Jain, Kajal Makkar, Jeetinder K Mangal, Kishore Sampley, Supriya J Anaesthesiol Clin Pharmacol Case Report We present a case of severe autonomic dysreflexia (AD) progressing to cardiac arrest and death under isoflurane anesthesia. Though AD in chronic cervical spine injury is a common entity, occurrence of such an event in the stage of flaccid paralysis in lower dorsal spinal cord injury is rare, especially under general anesthesia. Manipulation of urinary bladder catheter under light plane of isoflurane anesthesia might be the precipitating factor. Increasing concentration of isoflurane failed to abort the episode or might have aggravated it. High level of suspicion and vigilance is necessary to prevent, diagnose and treat such a condition. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3713676/ /pubmed/23878450 http://dx.doi.org/10.4103/0970-9185.111652 Text en Copyright: © Journal of Anaesthesiology Clinical Pharmacology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jain, Amit
Ghai, Babita
Jain, Kajal
Makkar, Jeetinder K
Mangal, Kishore
Sampley, Supriya
Severe autonomic dysreflexia induced cardiac arrest under isoflurane anesthesia in a patient with lower thoracic spine injury
title Severe autonomic dysreflexia induced cardiac arrest under isoflurane anesthesia in a patient with lower thoracic spine injury
title_full Severe autonomic dysreflexia induced cardiac arrest under isoflurane anesthesia in a patient with lower thoracic spine injury
title_fullStr Severe autonomic dysreflexia induced cardiac arrest under isoflurane anesthesia in a patient with lower thoracic spine injury
title_full_unstemmed Severe autonomic dysreflexia induced cardiac arrest under isoflurane anesthesia in a patient with lower thoracic spine injury
title_short Severe autonomic dysreflexia induced cardiac arrest under isoflurane anesthesia in a patient with lower thoracic spine injury
title_sort severe autonomic dysreflexia induced cardiac arrest under isoflurane anesthesia in a patient with lower thoracic spine injury
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713676/
https://www.ncbi.nlm.nih.gov/pubmed/23878450
http://dx.doi.org/10.4103/0970-9185.111652
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