Pregled bibliografske jedinice broj: 1237490
Alarming blood pressure changes during routine bladder emptying in a woman with cervical spinal cord injury
Alarming blood pressure changes during routine bladder emptying in a woman with cervical spinal cord injury // SPINAL CORD SERIES AND CASES, 3 (2017), 17101, 5 doi:10.1038/s41394-017-0022-y (međunarodna recenzija, prikaz, znanstveni)
CROSBI ID: 1237490 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Alarming blood pressure changes during routine
bladder emptying in a woman with cervical spinal
cord injury
Autori
Lee, Amanda H. X. ; Phillips, Aaron A. ; Squair, Jordan W. ; Barak, Otto F. ; Coombs, Geoff B. ; Ainslie, Philip N. ; Sarafis, Zoe K. ; Mijačika, Tanja ; Vučina, Diana ; Dujić, Željko ; Krassioukov, Andrei V.
Izvornik
SPINAL CORD SERIES AND CASES (2058-6124) 3
(2017);
17101, 5
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, prikaz, znanstveni
Ključne riječi
spinal cord injury ; blood pressure changes ; bladder emptying
Sažetak
INTRODUCTION: Many individuals with high-level spinal cord injury (SCI) experience secondary conditions such as autonomic dysreflexia (AD), which is a potentially life-threatening condition comprising transient episodes of hypertension up to 300mmHg. AD may be accompanied by symptoms and signs such as headache, flushing, and sweating. Delay in AD recognition and management is associated with increased incidence of cardiovascular events and disease. As it is commonly triggered by bladder distension, AD continues to be a major concern for individuals living with SCI, both on a daily basis and in the long-term. CASE PRESENTATION: A 58-year-old woman with C3 AIS B SCI presented with low resting blood pressure (BP) at 100/64mmHg. She reported frequent episodes of AD that were most commonly attributed to urinary bladder filling. During our testing session, her systolic BP rose to 130mmHg, at which point her care aide stepped in to utilize the Crede maneuver, which was part of her daily routine for bladder emptying. Application of suprapubic pressure further elevated her systolic BP to 230mmHg. Throughout the episode of AD, the participant experienced a pounding headache and erythema above the LOI. DISCUSSION: Clinical guidelines for bladder management after SCI recommend avoiding the Crede maneuver due to potential complications such as hernia or bruising. This current case report demonstrates the additional risk of inducing AD and dangerously high BP elevation.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
