Virtual Didactic - Autonomic Dysreflexia in SCI presented by Ryan Solinsky, MD-Autonomic Dysreflexia in SCI Led by Ryan Solinsky, MD

Video Transcription

Video Summary

The video discusses autonomic dysreflexia (AD), a condition that occurs in patients with spinal cord injuries. The presenter explains the underlying mechanisms of AD and its various clinical presentations. AD is characterized by a sudden increase in systolic blood pressure and can be triggered by stimuli such as bladder or bowel distension, skin irritation, or pain. The condition can lead to serious complications, including stroke and death. <br /><br />Management of AD involves conservative measures such as sitting the patient upright and removing constrictive clothing. Identifying and addressing the source of AD, such as bladder or bowel issues, is also crucial. Pharmacological management, including the use of nitroglycerin paste and oral medications like hydralazine, may be necessary if conservative measures do not bring the blood pressure under control. <br /><br />The video emphasizes the importance of education for patients with spinal cord injuries and their caregivers. Awareness and prompt management of AD can help prevent complications and improve patient outcomes. The presenter also touches on the implications of AD in the context of the COVID-19 pandemic and highlights the need for vigilance in preventing infections and immune suppression.

Keywords

autonomic dysreflexia

spinal cord injuries

systolic blood pressure

bladder distension

bowel distension

complications

management

conservative measures

pharmacological management