Autonomic hyperreflexia during upper extremity surgery |
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| Authors: | Elliott S. Greene Joseph L. Seltzer |
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| Affiliation: | 1. Department of Anesthesiology, State University of New York, Upstate Medical Center, 750 East Adams Street, 13210, Syracuse, New York
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| Abstract: | A case is presented of autonomic hyperreflexia in a quadriplegic patient occurring during upper extremity surgery. Tourniquet ischaemia is proposed as the likely causative stimulus. An understanding of the afferent neural pathways involved in this physiological response may be useful in better understanding the subjective phenomena of tourniquet pain in neurologically intact individuals. |
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