Current Management Strategies for Autonomic Dysreflexia
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Purpose of Review
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.
KeywordsSpinal cord injury Autonomic dysreflexia Surgery
Compliance with Ethical Standards
Conflict of Interest
The authors have nothing to disclose.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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