AUTONOMIC HYPERREFLEXIA DURING LABOR

被引:12
作者
KOBAYASHI, A [1 ]
MIZOBE, T [1 ]
TOJO, H [1 ]
HASHIMOTO, S [1 ]
机构
[1] KYOTO PREFECTURAL UNIV MED,DEPT ANESTHESIOL,KYOTO 602,JAPAN
来源
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE | 1995年 / 42卷 / 12期
关键词
ANESTHESIA; OBSTETRICAL; ANESTHETIC TECHNIQUES; EPIDURAL; COMPLICATIONS; AUTONOMIC HYPERREFLEXIA;
D O I
10.1007/BF03015101
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
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 vasodilatation and its side effects include headache, flushing and palpitation similar to AH.(1) 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.
引用
收藏
页码:1134 / 1136
页数:3
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