Prevention of hypertensive crises in patients with high spinal lesions during cystoscopy and lithotripsy.
Three patients with high spinal lesions, admitted to the hospital for cystoscopy and lithotripsy, showed signs of severe hypertension due to mass reflex during this operation. This symptom was controlled with an intravenous drip of Arfonade¿, and the patients felt quite comfortable without any other anaesthesia. Other possibilities for handling such patients are discussed.
D000328:Adult; D001341:Autonomic Nervous System / Q000503:physiopathology; D001794:Blood Pressure; D003558:Cystoscopy / Q000009:adverse effects*; D006801:Humans; D006973:Hypertension / Q000517:prevention & control*; D008297:Male; D011674:Pulse; D013118:Spinal Cord Diseases / Q000150:complications* / Q000503:physiopathology; D014294:Trimethaphan / Q000627:therapeutic use*; D001744:Urinary Bladder Calculi / Q000175:diagnosis / Q000628:therapy*
D014294:Trimethaphan