| Autonomic hyperreflexia during labour. | |
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MedLine Citation:
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PMID: 8595690 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present two cases of automatic hyperreflexia (AH) during labour in women with spinal cord damage, in whom AH developed before and after delivery. The AH was successfully controlled using epidural anaesthesia in Case #1, but failed in Case #2. The blood pressure was controlled with nicardipine. However, overdose of nicardipine produces vasodilation and its side effects include headache, flushing and palpitation similar to AH. Considering these effects, we recommend epidural anaesthesia to control AH, because epidural anaesthesia does not only reduce BP, but also blocks the noxious stimuli and relieves the symptoms of AH. Our experience suggests that the epidural catheter can be placed two to three weeks before the date of predicted childbirth, because the onset of labour in a patient with spinal cord damage is difficult to predict and can proceed very rapidly. Also, the epidural catheter is available after the delivery. We recommended the epidural catheter is maintained for 24-48 hr postpartum. |
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Authors:
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A Kobayashi; T Mizobe; H Tojo; S Hashimoto |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Canadian journal of anaesthesia = Journal canadien d'anesthésie Volume: 42 ISSN: 0832-610X ISO Abbreviation: Can J Anaesth Publication Date: 1995 Dec |
Date Detail:
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Created Date: 1996-04-12 Completed Date: 1996-04-12 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8701709 Medline TA: Can J Anaesth Country: CANADA |
Other Details:
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Languages: eng Pagination: 1134-6 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, Kyoto Prefectural University of Medicine, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anesthesia, Epidural Anesthesia, Obstetrical Autonomic Nervous System Diseases / etiology, physiopathology, therapy* Female Humans Obstetric Labor Complications / etiology, physiopathology, therapy* Pregnancy Reflex, Abnormal* Spinal Cord Injuries / complications |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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