title: Nifedipine pretreatment for prevention of autonomic hyperreflexia during anesthesia-free extracorporeal shock wave lithotripsy.
abstract: Nifedipine, a calcium channel blocker, has been used to treat autonomic hyperreflexia in quadriplegics undergoing invasive urological procedures. We present a case of autonomic hyperreflexia triggered by extracorporeal shock wave lithotripsy in which nifedipine was used successfully to treat the hypertensive crisis on 1 occasion and subsequently it was used prophylactically to prevent the crisis in the same patient.
authors.affiliation: Department of Urology, Mount Sinai Medical Center, New York, New York.
authors.forename: A
authors.initials: A
authors.lastname: Burnstein
authors.forename: D
authors.initials: D
authors.lastname: Richlin
authors.forename: J R
authors.initials: JR
authors.lastname: Sotolongo
mesh_terms: D006801:Humans; D007669:Kidney Calculi / Q000150:complications / Q000628:therapy*; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D009543:Nifedipine / Q000008:administration & dosage / Q000627:therapeutic use*; D011292:Premedication; D011782:Quadriplegia / Q000150:complications; D012021:Reflex, Abnormal / Q000187:drug effects*
chemical_list: D009543:Nifedipine