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Korean Journal of Anesthesiology 1989;22(4):551-555.
DOI: https://doi.org/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.
Yong Seok Oh, Chung Su Kim, Gyu Jeong Noh, Jae Hyun Park, Sung Ryang Chung
1Neuroanesthesia, Department of Anesthesiology, Seoul National University Hosptial, Seoul, Korea.
2Neuroanesthesia, Department of Anesthesiology, Dong-guk University, Pohang Hospital, Korea.
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.
Key Words: Chronic spinal cord injury; Autonomic hyperreflexia; Complication; Sodium nitroprus-side; Vasodilator; Treatment


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