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Chapter 46 - Spinal Cord Injury

from Section 3 - Neuroanesthesia

Published online by Cambridge University Press:  03 August 2023

Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 32-year-old male with a spinal cord injury (SCI) at the level of T4 from a motor vehicle accident nine months ago presents for a pre-surgical anesthesia evaluation. He will be undergoing a lithotripsy for bladder stones. He has no sensation below the level of T4. Apart from the SCI, he has no other medical problems. What are your considerations for this patient? If this patient has autonomic dysreflexia, how would this change your anesthetic plan?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
, pp. 205 - 208
Publisher: Cambridge University Press
Print publication year: 2023

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References

Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 1023–4.Google Scholar
Cuccurullo, S. Physical Medicine and Rehabilitation Board Review, 4th ed. New York: Springer, 2019, pp. 556–7, 563–6, 655–7.CrossRefGoogle Scholar
Hines, M. Stoelting’s Anesthesia and Co-Existing Disease, 7th ed. Philadelphia: Elsevier, 2018, pp. 305–14.Google Scholar
Lin, V. Spinal Cord Medicine: Principles and Practice. New York: Demos Medical Publishing, 2003, pp. 113–21, 189.Google Scholar

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