Journal of Clinical Anesthesiology: Open Access

Joseph Schiandicola

Publications

• Case Report
  Autonomic Hyperreflexia (AHR) in a Patient Undergoing Laparoscopic Cholecystectomy: A Case Report
  Author(s): Sneha Harish Rao and Joseph SchiandicolaSneha Harish Rao and Joseph Schiandicola
  
  Although the phenomenon of Autonomic Hyperreflexia (AHR) in patients undergoing bladder surgeries is well documented, there is very scarce literature regarding its presentation in other intra- abdominal surgeries. The life expectancy of patients with traumatic paraplegia in the age group of 20-40 yrs is about 25-45 yrs. The survival of patients with spinal cord injuries (SCI) is increasing, these patients could present to the anaesthesiologist for a wide variety of surgeries. Autonomic dysreflexia (AD) also described as autonomic hyperreflexia (AHR) or mass reflex is characterized by a widespread reflex sympathetic discharge in patients with spinal cord lesions above the level of T6. It presents as a life threatening medical emergency with elevated blood pressures. Our case presents a unique opportunity to discuss the implications of pneum.. Read More»
  

  Abstract PDF